Therapeutic Phlebotomy (Medically Required Phlebotomy)

Program has been revised. Please read carefully for recent changes in enrollment and payment.

The individuals in this program require a blood withdrawal to treat a medical condition. They have been diagnosed with a blood disease or disorder, like polycythemia vera or porphyria cutanea tarda. They DO NOT meet donor eligibility criteria because of their diagnosed medical condition.

Individuals on Testosterone Replacement Therapy or diagnosed with Hereditary Hemochromatosis should go to our Testosterone Replacement Therapy or Hereditary Hemochromatosis pages for information on these programs.

Enrollment Process:

To begin enrollment, your physician must complete and submit an Enrollment/Prescription for Phlebotomy Form by email, fax, or mail before you schedule your first appointment. The form must include the diagnosis requiring phlebotomy and disclose any other relevant health concerns, including infectious diseases or heart/lung conditions. 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.

You will be notified by mail or email once enrollment is complete, at which point you may call our Contact Center to schedule an appointment. Walk-ins are NOT accepted.

This is a donor-driven program. You and your physician determine when phlebotomy is needed. Blood draws may be performed as often as every two weeks. Carter BloodCare does not monitor the frequency of phlebotomies beyond ensuring a minimum14-day interval between procedures.

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, cancer, or infectious disease (including HIV), please contact Donor Notification by phone or email.

Participation in this program requires payment of a fee.

Accepted forms of payment are money orders, traveler’s checks, and cashier’s checks, made payable for the exact amount due. Payment must be made to the Donor Center staff at the time of the appointment, and a receipt will be provided. Please be aware that cash and credit cards are NOT accepted.

Contact Information: Donor Notification can be reached weekdays 9:00 AM–5:30 PM by phone at (817) 412-5303, fax at (817) 412-5609, or email at dn@carterbloodcare.org.

1. Enrollment/Prescription for Phlebotomy Form to be completed and signed by physician.
2. Submit completed form to dn@carterbloodcare.org or fax to (817) 412-5609.