Hospital Services Forms

To use the Electronic fillable forms, ensure your browser is set to open PDFs in Adobe Acrobat Reader.

Product and Redistribution Supply Order Forms

Product Order Forms for fax, Redistribution Supplies Order Form, Patient Designated Plasma Protein Products Form, HLA/HPA selected platelets Forms

Submitting product orders

Laboratory Services Requisitions and Forms

Perinatal Testing, Platelet/HLA testing (including TRALI Investigation), Immunohematology Referral, Crossmatch Testing (Manitoba only)

Laboratory Services Requisitions and Forms

HLA/HPA Selected Platelets Forms

HLA/HPA Selected Platelets Forms request and report forms

HLA/HPA Selected Platelets Forms

Hospital Portal

Online form for product ordering and disposition reporting

Hospital Portal

Hospital Feedback

Online form to submit feedback regarding overall satisfaction, safety, product quality and availability, timeliness of deliveries, communication, as well as positive feedback and general suggestions for improvement, to help us improve our products and services. 

Hospital Feedback

Adverse Reaction Reporting Forms

Health Canada Forms, TRALI Investigation, Transmissible Disease Notification Form

Adverse Reaction Reporting Forms

Product Return Form

Please contact your local Canadian Blood Services distribution department prior to returning any Blood Components or Plasma Protein and Related Products.

Product Return Form