Patient Registration Form :

* Convalescent plasma is currently not an approved treatment, it is under experimental use. Please consult your doctor before registering as a patient.

* Uploading the case sheet helps in processing the request faster

* Be assured, all your information is safe with us.

* The prescription should clearly have the following things:- Patient’s Name Patient’s blood group Doctor’s stamp & signature And it should be clearly written that this patient requires plasma therapy and hence requires plasma.

Please Fill The Form :