Request Blood

Need blood for a patient? Submit a request and we will notify blood donors in your area who can help. Connect patients with donors when blood banks don't have available supply.

Blood Request Form

Need blood for a patient? Submit a request and we will notify blood donors in your area who can help. Connect patients with donors when blood banks don't have available supply.

Patient Information

Patient Name *

Patient Age

Patient Gender

Blood Group Needed *

Units Needed

Hospital Information

Hospital Name

Hospital Location *

Region *

District

Contact Information

Contact Person Name *

Contact Phone *

Contact Email (Optional)

Urgency Level *

🟢 Normal

🟡 Urgent

🔴 Emergency

Additional Notes (Optional)

🚨 For emergency blood needs, please also call: +255 745 600 763

View All Blood Requests Register as a Blood Donor

AIDF Dar es Salaam, Tanzania