Miller-Keystone Blood Center
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Tell Us Your Story!

Have you, or a member of your family, received blood? If so, we want to hear your story!

The Blood Center is always looking for willing individuals to share their experiences with us, as testimonials have been instrumental in assisting us in both our recruitment and development activities. If you are willing to share your story with us, please complete the form below. A Blood Center representative will contact you to discuss your experiences in more detail. 

Note: All information discussed with a Blood Center representative
will remain strictly confidential. The only information publicly revealed is information
that you specifically grant permission for us to utilize.

YES! I (or a member of my family) have received blood, and I am willing to share my story with the Blood Center, to assist them in their mission. Please contact me to discuss my experiences.

Name:
City, State of Residence: 
Telephone Number:
E-mail:
Prior to follow-up, any
comments you might
have:
 
ISO 9001:2000

FM 57743
Miller-Keystone Blood Center
Sole Supplier of Blood to Northampton, Lehigh, Berks, Carbon, Upper Bucks and Upper Montgomery (PA), and Warren (NJ) counties.

An Independent, Not-For-Profit
501(c)3 community organization,
Miller-Keystone Blood Center is an
an affiliate of Hospital Central Services, Inc.
Hospital Central Services, Inc.