"BIKUR CHOLIM"
BIKUR CHOLIM - BLOOD DONOR REGISTRY
Bikur Cholim operates the largest Jewish blood donor registry on the West Coast, organizing direct-donor blood products and major blood drives throughout the year. We are here to serve patients and hospitals in need throughout Greater Los Angeles.
SELF
Salutation
Please select...
Mr.
Ms.
Mrs.
Dr.
Prof.
Rabbi
First Name
Middle Initial
Last Name
Mobile Phone
Home Phone
Email
Date of Birth
MM-DD-YYYY
Gender
Male
Female
HOME ADDRESS
Address
Unit, Suite or Apt Number
City
State
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
TYPE OF DONATION
My blood type is
Please select...
A+
A-
B+
B-
AB+
AB-
O+
O-
I don't know my blood type
I would like to donate blood
I would like to donate blood and platelets
I am in need of blood and or platelets
Notes
Contact us at Bikur Cholim