Donor Form

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 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.

Please fill in all information before sending. All information gathered here is confidential.

1.

Donor First Name *

Donor Last Name *

Address *

Country

City

State

Zip code

Home Phone *

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

Cell Phone *

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

Email *

Date of Birth *

Age *

Sex *

Race *

Height: feet *

inches *

Weight: lbs *

3.

How did you hear about Plasma Services Group? *

Select one from the drop down menu

Other Referral Source *

Online Support Group

Doctor Referral

Friend Referral

None

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

Name of Group / Referrer *

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

Do you belong to a support group for your condition? *

Yes

If yes, please list the support group: *

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

Captcha *

For security verification, please enter any random two digit number. For example: 40

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

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