BLOOD DONATION DRIVE
šŸ©ø IN ASSOCIATION WITH ONE BLOOD FOUNDATION
šŸ™ ADDRESS: Tampa Gurdwara (USREF), 15302 Morris Bridge Road, Tampa, FL 33592

Please register here to get all related notifications about the next blood donation drive.

Waheguru ji ka Khalsa,
Waheguru ji ka Khalsa! šŸ™

āš ļø Disclaimer: Tampa Gurdwara (USREF) reserves the right to share the digital content on it's public platforms. Please feel free to contact us if there is any content that you would not like to be shared. However, please note this request can be only selectively enforced.
Email address *
Do You Have Health Insurance? *
Required
Full Name *
Age
Blood Group (if you know or remember)
Cell Phone Number
This information is required to communicate any updates, if any.
1st Time Preference
2nd Time Preference
Feedback/Comments
šŸŸ„ SELF-QUARANTINE QUESTIONNAIRE
āŒ If you answer YES to any of the following questions, please see a medical professional and REFRAIN from coming. šŸ™

šŸŸŖ Have you or anyone in your household had any of the following symptoms in the last 21 days: sore throat, cough, chills, body aches for unknown reasons, shortness of breath for unknown reasons, loss of smell, loss of taste, runny nose, fever at or greater than 100 degrees Fahrenheit?
šŸŸ§ Have you or anyone in your household been tested for COVID-19?
šŸŸ„ Have you or anyone in your household visited or received treatment in a hospital, nursing home, long-term care, or other health care facility in the past 30 days?
šŸŸ¦ Have you or anyone in your household traveled on a cruise ship in the last 21 days?
šŸŸ§ Are you or anyone in your household a health care provider or emergency responder?
šŸŸŖ Have you or anyone in your household cared for an individual, who is in quarantine or is a presumptive positive or has tested positive for COVID-19?
šŸŸØ Do you have any reason to believe you or anyone in your household has been exposed to or acquired COVID-19?
šŸŸ« To the best of your knowledge have you been in close proximity to any individual who tested positive for COVID-19?
A copy of your responses will be emailed to the address you provided.
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