Donor Form

PSG proudly announces the launch of our new, donor-centered website – www.PSGDonors.com!

Please visit the site to view our innovative donor video, updated FAQs -, new donor form -, current paid studies, and “PSG + You page”.

We value our donors as the a vital and critical link in the diagnostic process. Without your plasma donations, it would be impossible to manufacture test kits and advance research!

Thank you to all of our donors for making a difference, and we hope you find the new site helpful.

Welcome to Plasma Services Group’s donor page! We are a medical research and diagnostics company that is always looking for specialty plasma donors (people with recent medical diagnoses or autoimmune conditions who are willing to donate plasma). We generally compensate all of our donors $200.00 per donation for their time and efforts.

Specialty plasma donations are vital to the diagnostic industry. Without them, test kits for many diseases and disorders wouldn’t exist. If you would like to know more about this, please visit our FAQs page.

If you have questions about the donation process, please contact donor recruitment by email donors@plasmaservicesgroup.com or visit our DONOR DETAILS page.

If you are interested in becoming a specialty plasma donor, please fill out this form and someone will be in contact with you shortly. Any fields marked with a red asterisk (*) must be filled in before hitting the submit button.

[vector_icon icon=”pencil”] Please fill in all information before sending. All information gathered here is confidential.

1.

If no home phone, type in all digits as zeros to be able to submit form.

If no cell phone, type in all digits as zeros to be able to submit form.

2.

(If yes, it is essential that you fax or e-mail the results to 215-355-1212 or donors@plasmaservicesgroup.com)

If yes, please list other diagnoses and date of diagnosis.

Please include the approximate date of onset of each symptom.

Check all that apply.

(Ex: difficulty getting blood drawn, bad veins, or trouble moving your arms or hands)

If no, type N/A to be able to submit form.

If no, type N/A to be able to submit form.

Please list Medication, Dosage, Date Started and Reason.
If none, type N/A to be able to submit form.

3.

Select one from the drop down menu

If you heard about us from one of the options below, please include the name if possible.

If no, type N/A to be able to submit form.

If no, type N/A to be able to submit form.

For security verification, please enter any random two digit number. For example: 92