Versiti - VersiPASS Online Questionnaire

VersiPASS Online Questionnaire

Use VersiPASS to answer your donor questionnaire from the comfort of your home, the day of your appointment.

Welcome to VersiPASS

VersiPASS is a one-stop shop for donors across Versiti’s footprint to review reading materials and complete their health history questionnaire privately, prior to arriving for their donation. We look forward to taking care of you at your blood donation appointment later today.

VersiPASS must be completed the same day of your donation.

Please bring your printed or mobile confirmation to your appointment. Without it, you will be required to complete another questionnaire onsite.

3 Easy Steps

  1. Review education materials 
  2. Complete the online questions 
  3. Bring printed or mobile confirmation to your scheduled appointment

Education Materials


If you are under 17 years of age, please review, complete and print out the parental consent form below.

Valid only on date identified on completion confirmation. Successful completion of VersiPASS does not guarantee eligibility to donate; verification of eligibility will be determined on location at time of donation.

For additional eligibility questions, please review common eligibility and blood donation process FAQ's or call 877-232-4376.

By clicking the button below and launching the application you are confirming you are in a private setting to complete your questionnaire.

Blood Donation FAQs
Read frequently asked questions involving donor eligibility, donation process, blood safety, platelet donation, plasma donation and more.
Importance of Diverse Donors
Diverse blood donations improve blood transfusion outcomes for sickle cell patients and diverse blood recipients. Make an appointment to donate blood.
LGBTQ+ Donor Information
Members of the LGBTQ+ community may be able to donate blood, platelets or plasma, provided that they meet FDA eligibility requirements.
Where to Donate Blood Near You
There are may options where you can make your blood, platelet, or plasma donation. Your donations provide hospitals in your community with precious blood products that patients desparately need.