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City Chattanooga / / Company Blood Assurance Inc. / / IndustryTerm needle site / anticoagulant solutions / anticoagulant solution / / MedicalCondition Low blood pressure/hyperventilation / tissue damage/scarring Headache / severe allergic reaction / Syphilis / HIV / fainting / Shortness of breath / chills / hives / Hematoma formation/bruising Hives/itching / phlebitis / itching / muscle tremor/spasms / fever / warmth/nausea/vomiting / Vascular injury / fatigue / AIDS / Infection / Hepatitis / dizziness / inflammation / air embolism / infectious disease / lightheadedness / / MedicalTreatment apheresis / blood transfusion / / Organization Alabama Department of Public Health / Georgia Department of Human Resources / U.S. Food and Drug Administration / Tennessee Department of Public Health / / / Position Driver / / ProvinceOrState Tennessee / Virginia / Alabama / North Carolina / Georgia / / URL www.bloodassurance.org / / SocialTag 
CONSENT TO DONATE BLOOD PARENT/LEGAL GUARDIAN INFORMATION Your teenager would like to join a special group of people who help others by giving the “gift of life.” Please know that the blood donation process is a safe