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Vitalant fax number

(480) 675-5554

Donor Care - Special Services

Used for: Therapeutic Phlebotomy Orders / Special donor collections (including directed and autologous donations)

Fax destination details

Department
Donor Care - Special Services
Purpose
Therapeutic Phlebotomy Orders / Special donor collections (including directed and autologous donations)
Form
Therapeutic Phlebotomy Order — Therapeutic Phlebotomy Order
Voice phone
480-675-5554

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  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Fill out the Therapeutic Phlebotomy Order form completely. Orders are valid for a maximum of 12 months. Submit by fax to 480-795-2376 or email donorcarespecialservices@vitalant.org. The form may specify default volumes, Hb thresholds, and frequency as indicated in the document.

Official form instructions are published as a downloadable file on the organization's website.

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