Submitting product orders

Canadian Blood Services operates nine distribution sites across Canada, each site has a group of hospitals that they service. All blood orders must be submitted by fax using the current order form.

For a copy of the Privacy Notice for Patient Designated Plasma Protein and Related Products, please visit our Privacy/Legal page.

British Columbia

FORM NAME	FORM
Blood Component Order Form	Open PDF
Volume Expanders and Immune Globulins Order Form	Open PDF
Factor Concentrates & Other Plasma Protein & Related Order Form	Open PDF
Special Red Blood Cell Order Form	Open PDF
Special Plasma and Platelet Order Form	Open PDF
Request for HLA/HPA Selected Platelets	Open PDF
HLA/HPA Selected Platelet Report	Open PDF
Redistribution Supplies Order Form	Open PDF
Glassia Request – Patient Designated Plasma Protein and Related Product	Open PDF
Hemlibra Request – Patient Designated Plasma Protein and Related Product	Open PDF
Panhematin Request – Patient Designated Plasma Protein and Related Product	Open PDF
Non-Formulary Request – Patient Designated Plasma Protein and Related Product	Open PDF
Plasma and Related Products Requiring Contracts Order Form	Open PDF
Special Access Programme Products Order Form	Open PDF

Edmonton

FORM NAME	FORM
Blood Component Order Form	Open PDF
Volume Expanders and Immune Globulins Order Form	Open PDF
Factor Concentrates & Other Plasma Protein & Related Order Form	Open PDF
Special Red Blood Cell Order Form	Open PDF
Special Plasma and Platelet Order Form	Open PDF
Request for HLA/HPA Selected Platelets	Open PDF
HLA/HPA Selected Platelet Report	Open PDF
Redistribution Supplies Order Form	Open PDF
Glassia Request – Patient Designated Plasma Protein and Related Product	Open PDF
Hemlibra Request – Patient Designated Plasma Protein and Related Product	Open PDF
Panhematin Request – Patient Designated Plasma Protein and Related Product	Open PDF
Non-Formulary Request – Patient Designated Plasma Protein and Related Product	Open PDF
Plasma and Related Products Requiring Contracts Order Form	Open PDF
Special Access Programme Products Order Form	Open PDF

Calgary

FORM NAME	FORM
Blood Component Order Form	Open PDF
Volume Expanders and Immune Globulins Order Form	Open PDF
Factor Concentrates & Other Plasma Protein & Related Order Form	Open PDF
Special Red Blood Cell Order Form	Open PDF
Special Plasma and Platelet Order Form	Open PDF
Request for HLA/HPA Selected Platelets	Open PDF
HLA/HPA Selected Platelet Report	Open PDF
Redistribution Supplies Order Form	Open PDF
Glassia Request – Patient Designated Plasma Protein and Related Product	Open PDF
Hemlibra Request – Patient Designated Plasma Protein and Related Product	Open PDF
Panhematin Request – Patient Designated Plasma Protein and Related Product	Open PDF
Non-Formulary Request – Patient Designated Plasma Protein and Related Product	Open PDF
Plasma and Related Products Requiring Contracts Order Form	Open PDF
Special Access Programme Products Order Form	Open PDF

Regina

FORM NAME	FORM
Blood Component Order Form	Open PDF
Volume Expanders and Immune Globulins Order Form	Open PDF
Factor Concentrates & Other Plasma Protein & Related Order Form	Open PDF
Special Red Blood Cell Order Form	Open PDF
Special Plasma and Platelet Order Form	Open PDF
Request for HLA/HPA Selected Platelets	Open PDF
HLA/HPA Selected Platelet Report	Open PDF
Redistribution Supplies Order Form	Open PDF
Glassia Request – Patient Designated Plasma Protein and Related Product	Open PDF
Hemlibra Request – Patient Designated Plasma Protein and Related Product	Open PDF
Panhematin Request – Patient Designated Plasma Protein and Related Product	Open PDF
Non-Formulary Request – Patient Designated Plasma Protein and Related Product	Open PDF
Plasma and Related Products Requiring Contracts Order Form	Open PDF
Special Access Programme Products Order Form	Open PDF

Winnipeg

FORM NAME	FORM
Blood Component Order Form	Open PDF
Volume Expanders and Immune Globulins Order Form	Open PDF
Factor Concentrates & Other Plasma Protein & Related Order Form	Open PDF
Special Red Blood Cell Order Form	Open PDF
Special Plasma and Platelet Order Form	Open PDF
Request for HLA/HPA Selected Platelets	Open PDF
HLA/HPA Selected Platelet Report	Open PDF
Redistribution Supplies Order Form	Open PDF
Glassia Request – Patient Designated Plasma Protein and Related Product	Open PDF
Hemlibra Request – Patient Designated Plasma Protein and Related Product	Open PDF
Panhematin Request – Patient Designated Plasma Protein and Related Product	Open PDF
Non-Formulary Request – Patient Designated Plasma Protein and Related Product	Open PDF
Plasma and Related Products Requiring Contracts Order Form	Open PDF
Special Access Programme Products Order Form	Open PDF

Brampton

FORM NAME	FORM
Blood Component Order Form	Open PDF
Volume Expanders and Immune Globulins Order Form	Open PDF
Factor Concentrates & Other Plasma Protein & Related Order Form	Open PDF
Special Red Blood Cell Order Form	Open PDF
Special Plasma and Platelet Order Form	Open PDF
Request for HLA/HPA Selected Platelets	Open PDF
HLA/HPA Selected Platelet Report	Open PDF
Redistribution Supplies Order Form	Open PDF
Glassia Request – Patient Designated Plasma Protein and Related Product	Open PDF
Hemlibra Request – Patient Designated Plasma Protein and Related Product	Open PDF
Panhematin Request – Patient Designated Plasma Protein and Related Product	Open PDF
Non-Formulary Request – Patient Designated Plasma Protein and Related Product	Open PDF
Plasma and Related Products Requiring Contracts Order Form	Open PDF
Special Access Programme Products Order Form	Open PDF

Ottawa

FORM NAME	FORM
Blood Component Order Form	Open PDF
Volume Expanders and Immune Globulins Order Form	Open PDF
Factor Concentrates & Other Plasma Protein & Related Order Form	Open PDF
Special Red Blood Cell Order Form	Open PDF
Special Plasma and Platelet Order Form	Open PDF
Request for HLA/HPA Selected Platelets	Open PDF
HLA/HPA Selected Platelet Report	Open PDF
Redistribution Supplies Order Form	Open PDF
Glassia Request – Patient Designated Plasma Protein and Related Product	Open PDF
Hemlibra Request – Patient Designated Plasma Protein and Related Product	Open PDF
Panhematin Request – Patient Designated Plasma Protein and Related Product	Open PDF
Non-Formulary Request – Patient Designated Plasma Protein and Related Product	Open PDF
Plasma and Related Products Requiring Contracts Order Form	Open PDF
Special Access Programme Products Order Form	Open PDF

Dartmouth

FORM NAME	FORM
Blood Component Order Form	Open PDF
Volume Expanders and Immune Globulins Order Form	Open PDF
Factor Concentrates & Other Plasma Protein & Related Order Form	Open PDF
Special Red Blood Cell Order Form	Open PDF
Special Plasma and Platelet Order Form	Open PDF
Request for HLA/HPA Selected Platelets	Open PDF
HLA/HPA Selected Platelet Report	Open PDF
Redistribution Supplies Order Form	Open PDF
Glassia Request – Patient Designated Plasma Protein and Related Product	Open PDF
Hemlibra Request – Patient Designated Plasma Protein and Related Product	Open PDF
Panhematin Request – Patient Designated Plasma Protein and Related Product	Open PDF
Non-Formulary Request – Patient Designated Plasma Protein and Related Product	Open PDF
Plasma and Related Products Requiring Contracts Order Form	Open PDF
Special Access Programme Products Order Form	Open PDF

Access French forms for this region on sang.ca

St Johns, Newfoundland

FORM NAME	FORM
Blood Component Order Form	Open PDF
Volume Expanders and Immune Globulins Order Form	Open PDF
Factor Concentrates & Other Plasma Protein & Related Order Form	Open PDF
Special Red Blood Cell Order Form	Open PDF
Special Plasma and Platelet Order Form	Open PDF
Request for HLA/HPA Selected Platelets	Open PDF
HLA/HPA Selected Platelet Report	Open PDF
Redistribution Supplies Order Form	Open PDF
Glassia Request – Patient Designated Plasma Protein and Related Product	Open PDF
Hemlibra Request – Patient Designated Plasma Protein and Related Product	Open PDF
Panhematin Request – Patient Designated Plasma Protein and Related Product	Open PDF
Non-Formulary Request – Patient Designated Plasma Protein and Related Product	Open PDF
Plasma and Related Products Requiring Contracts Order Form	Open PDF
Special Access Programme Products Order Form	Open PDF