Blood Bank Request Form (New Zealand)

Form Template

The Blood Bank Request Form (New Zealand) mobile app allows medical facilities to replace a paper blood bank request with a cell phone, tablet or even a computer.

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The mobile form includes fields to document items such as sample type, submitting facility information, patient information, patient history, and transfusion history. Once the mobile app is filled out a secure PDF is generated. The PDF is easy to share, and a copy is stored in your account for your blood bank records. You can also use the App Builder to personalize and customize this mobile form. Obtain an appropriate blood sample and label it with the date of collection and patient information which matches the patient information given in the app. If two matching identifiers are not present on the sample/requisition, testing may be rejected! Specimens should be shipped and received on a cool pack.

Features
  • Submission Editing
  • Reference Data
  • Dispatch
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

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