VersiPASS Online Questionnaire

Use VersiPASS to answer your donor questionnaire from the comfort of your home, the day of your appointment.

Welcome to VersiPASS

VersiPASS is a one-stop shop for donors across Versiti’s footprint to review reading materials and complete their health history questionnaire privately, prior to arriving for their donation. We look forward to taking care of you at your blood donation appointment later today.

VersiPASS must be completed the same day of your donation.

Please bring your printed or mobile confirmation to your appointment. Without it, you will be required to complete another questionnaire onsite.

3 Easy Steps

  1. Review education materials 
  2. Complete the online questions 
  3. Bring printed or mobile confirmation to your scheduled appointment

Education Materials

Forms

If you are under 17 years of age, please review, complete and print out the parental consent form below.

Valid only on date identified on completion confirmation. Successful completion of VersiPASS does not guarantee eligibility to donate; verification of eligibility will be determined on location at time of donation.

For additional eligibility questions, please review common eligibility and blood donation process FAQ's or call 877-232-4376.

Educational Material Confirmation

 
Blood Types Explained
Find the facts about different blood types, from A+ to O-. Learn more about why people have different blood types before your next blood donation.
 
Types of Donations
Volunteer to donate blood at a blood donation center near you. Find out how often you can donate blood and make an appointment to donate today.
 
Importance of Diverse Donors
Diverse blood donations improve blood transfusion outcomes for sickle cell patients and diverse blood recipients. Make an appointment to donate blood.
 
LGBTQ+ Donor Information
Members of the LGBTQ+ community may be able to donate blood, platelets or plasma, provided that they meet FDA eligibility requirements.