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Vitalant fax number

(480) 795-2376

Special Services

Used for: Therapeutic phlebotomy orders and autologous/directed donation requests (physician orders forwarded to Special Services).

Fax destination details

Department
Special Services
Purpose
Therapeutic phlebotomy orders and autologous/directed donation requests (physician orders forwarded to Special Services).
Form
BS 365T (Rev. 16) — Therapeutic Phlebotomy Order
Address
9305 E Via De Ventura, Scottsdale, AZ 85258, USA
Voice phone
480-675-5554

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Notes and Instructions for the Therapeutic Phlebotomy Order; form must be filled out completely to request donor procedures.

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

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