Platelet Partners Claim Form

Hospital Information

Please choose your hospital group, and then the specific hospital you represent. We encourage good stewardship of available units and avoiding product expiration by allowing product exchange within a hospital system. However, the discount credit is only applied if exchanging with a hospital partner outside of your system.

If you do not see your specific hospital listed please contact plateletpartners@versiti.org.

Hospital Contact Information

Platelet Unit Information

Please confirm that you have received the chosen unit and review the information below. If you have any questions please email plateletpartners@versiti.org.

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Blood Products and Components
Versiti provides blood products to hospitals, medical centers and blood centers to meet patient need, and biomaterials to support research projects.
 
Platelet Partners
Submit 5-Day platelet requests using this form. The form is reset each night.
 
Specialty Products & Services
Versiti offers a number of specialty products and services, including matched platelets, autologous and directed donations, and therapeutic phlebotomy.
 
Products & Services
Versiti offers a number of products and services for professional partners, including blood products for transfusion, specialty products and therapeutic services.