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.}

Takes about 5 minutes

Let's start with your basic information.

First Name

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Middle Name

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Last Name

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Date of Birth

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Email Address

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Mobile Number

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Emergency Contact Name

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Emergency Contact Number

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We have few questions for you

Are you 17 Years old or below?

Yes

❗Please select one

Have you donated blood in the past 2 months?

Yes

❗Please select one

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

Yes

❗Please select one

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!
‍

Continue

Your Information Summary.

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 Thursday, February 26, 2026, from 8:00 AM to 2:00 PM
at Multi-Purpose Covered Court, 40 Solar St., Park III, Bel-Air Village, Makati City

Your Details

First Name

Last Name

Middle Name

Date of Birth

Contact email

Phone

Emergency Contact Name

Emergency Contact Number

Medical Information

Are you 17 Years old or below?

Have you donated blood in the past 2 months?

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

Request Sent!

Our team will reach out to you within 24 hours!

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