Bloodletting Registration

Data Privacy

In compliance with the Data Privacy Act of 2012, Makati Life Medical Center ensures that the information you provide will be kept strictly confidential and will only be processed, disclosed, or shared with your consent. By completing and submitting this form, you agree to the processing of your data in accordance with Makati Life Medical Center Patient Privacy Policy. To secure your slot, kindly fill out this form.

Enter your name

What is your date of birth?

Enter your phone number

Enter your email address

Emergency Contact Name

Emergency Contact Number

Are you 17 Years old or below?

Yes

Have you donated blood in the past 2 months?

Yes

Are you pregnant, do you have any chronic health conditions, or have you had recent surgery?

Yes

If you answered “No” to all questions, you are eligible to donate blood. However, if you are pregnant, have chronic health conditions, or have had recent surgery, please consult a healthcare provider before donating. Thank you for your willingness to save a life!

_{For all our lifesavers, here are some reminders to make sure you're in your best shape while helping others get back to theirs too.
‍}
Blood Donation Reminders
^{- Bring a valid identification card.
- Drink plenty of water.
- Eat a balanced meal 3 to 4 hours before donating blood.
- Get enough sleep, at least 7 to 8 hours the night before donating.
- Avoid alcohol and caffeine 24 hours before donating.
- Wear a shirt with sleeves that can be easily rolled up.
- Make sure you are healthy and at least 18 years old.
- Avoid strenuous exercise before donating.- If you smoke, refrain from smoking 30 minutes before donating.
‍
See you on}^{Monday, December 1, 2025, from 8:00 AM to 2:00 PM at the Makati Life Medical Center, Experiential Gallery.}

by submitting this form, you agree to our privacy policy

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form.