Testosterone Therapy (TRT)

If you need to be drawn more often that 8 weeks or do not meet donor criteria…

If you do not meet eligibility criteria for blood donation or your physician requires phlebotomy more frequently than every eight (8) weeks, you must be enrolled in the testosterone program. To enroll, your physician must complete and submit an Enrollment/Prescription for Phlebotomy Form by email, fax, or mail. Enrollment is valid for one year and may be renewed annually. This form should also be used to renew or update an existing enrollment.

The form must be completed in full. Do not alter or add to the form, as this may delay processing.

You may complete the patient section and send the form to your physician for signature, or have your physician submit a completed form directly to the Donor Notification Department at Carter BloodCare.

As a member of the testosterone program, PHLEBOTOMY SERVICES ARE PROVIDED AT NO CHARGE TO YOU.

This is a donor-driven program. You and your physician determine when phlebotomy is needed. If the form indicates you can be drawn every two weeks, this establishes a minimum 14-day interval between procedures. It does not require you to donate every two weeks. Carter BloodCare does not monitor frequency beyond the minimum 14-day interval between phlebotomies.

You may donate at any Carter BloodCare Donor Center or mobile drive. You may only donate whole blood. Please note that only donors eligible for allogenic donation may be drawn at mobile drives. If you do not meet eligibility criteria, you will be directed to a Carter BloodCare Donor Center.

Some cardiac or lung issues may exclude you from being drawn at Carter BloodCare. If you have a history of cardiac and/or lung conditions, please contact Donor Notification by phone or email.

If you do not feel well or experience symptoms that may be related to testosterone therapy (e.g. high blood pressure, rapid pulse, feeling unwell because your blood is “too thick”, etc.), contact your physician immediately. Please note that Carter BloodCare does NOT provide emergency phlebotomy services.

If you discontinue testosterone therapy, please let us know and we will make the appropriate adjustments to your records.

Donor Notification can be reached weekdays 9:00 AM–5:30 PM by phone at (817) 412-5603, fax at (817) 417-5609, or email at DN@carterbloodcare.org.

The Prescription/Enrollment Form was revised on May 20, 2025.  Please use the revised Prescription/Enrollment Form if you are enrolling or updating a current/expired form.

1. Download the Enrollment/Prescription for Phlebotomy Form

2. Complete the Patient Information section by typing in the information

3. Print/save the form with the Patient Information completed

4. Scan and email to your physician or take a hard copy to your physician for signature

5. Submit completed form with physician signature to DN@carterbloodcare.org or fill the form below.