Donors on Testosterone Replacement Therapy
Testosterone is not a reason for being ineligible to donate.
Why Giving Could Be Good for You
One of the possible side effects of testosterone therapy is an increase in red cell production, sometimes to levels that can affect your health. The treatment for this is to have some of the excess red cells drawn from your body.
How Can Your Blood Be Used?
There are two types of blood draws in this program – allogeneic or therapeutic. Allogeneic means that your blood can be used for transfusion purposes while therapeutic means that your blood is not used for transfusion purposes.
If your health care provider does not require you to have blood drawn more often than every 8 weeks, you may qualify to give allogeneic donations.
The Enrollment Form is NOT required for allogeneic donors donating no more often than every 8 weeks.
If you qualify, we encourage you to donate at any Carter BloodCare Neighborhood Donor Center, or at a Carter BloodCare Mobile Blood Drive. Like any other blood donor, you can walk in or schedule your own donation online.
If you do not meet the criteria or do not want your blood to be donated for transfusion purposes, the Enrollment Form below will need to be completed and signed by your physician. This form is valid for one year, or until an updated form is received.
If you need to be drawn more frequently than every 8 weeks, the Enrollment Form below will need to be completed and signed by your physician. We offer blood draws as frequently as every 2 or 4 weeks.
This is a donor driven program; you and your physician will determine when you need to be drawn. A form marked for every 4 weeks will allow you to be drawn with at least a 4 week interval between donations. It does not require you to donate every 4 weeks.
The Enrollment Form needs to be completely filled out. Please do not alter or add to the form, as this will delay your enrollment.
As a member of our testosterone program, WE WILL ALWAYS OFFER PHLEBOTOMY AT NO CHARGE TO YOU as long as you continue testosterone therapy and have a need to be drawn. If for any reason you do not qualify to donate or become deferred, we can still draw your blood as long as is necessary.
Some severe cardiac conditions may exclude you from being able to be drawn at Carter BloodCare. If a history of cardiac conditions applies to you, please call Donor Notification at (817) 412-5603 or email at firstname.lastname@example.org. Donor Notification will be able to address any potential concerns, and may need to have additional paperwork submitted from your Cardiologist/Physician.
In order to begin your enrollment process, you may complete the top portion of the Enrollment Form below and forward it to your physician for signature. You may also contact your physician and ask them to send a completed form to Donor Notification (the contact information is at the top of the form).
Please use this Enrollment Form if you are enrolled and are updating a current or expired form.
If you discontinue testosterone therapy, please let us know and we will make the appropriate adjustments to your records.
For any questions or concerns, you can reach Donor Notification weekdays at 817-412-5603.
Thank you for supporting the community blood supply by donating with Carter BloodCare.
1. Enrollment Form: Download
2. Complete the Patient Information section by typing in the information
3. Print out the form with the Patient Information completed
4. Scan and email to your physician or take a hard copy to your physician
5. Submit completed form with physician signature to DN@carterbloodcare.org or fill the form below