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Australian Capital Territory Blood Donation (Transmittable Diseases) Blood Donor Form[removed]No 1) Disallowable instrument DI2010–87 Approved Form AF2010–90
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Document Date: 2012-07-02 01:02:31


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City

Reading / /

Company

Status I130 (identify previous malaria residency) Yes No Malaria Travel / /

Country

Isle of Man / Northern Ireland / Falkland Islands / Australia / United Kingdom / Scotland / Wales / /

Facility

Blood Donor Centre / /

IndustryTerm

needle site / blood products / heavy machinery / /

MedicalCondition

sexually transmitted disease / bruise / cuts / leptospirosis / familial insomnia / syphilis / HIV / chest pain / chickenpox / shingles / rheumatoid arthritis / Transmittable Diseases / Chagas’ disease / herpes / thyroid disorder / hepatitis C / hepatitis B / injury / hepatitis / bowel disease / illness / lupus / infections / head injury / Q fever / infertility / abdominal pain / Creutzfeldt-Jakob disease / cancer / acne / naturally low blood pressure / kind including melanoma / Fainting / malaria / stroke / diabetes / fever / pain / vomiting / autoimmune disease / diseases / rheumatic fever / blood clot / AIDS / epilepsy / infection / cough / inflammation / troublesome bruise / thrombosis / serious illness / rash / chest pain/angina / Gerstmann-Straussler-Scheinker syndrome / tuberculosis / blood disorder / /

MedicalTreatment

blood transfusion / ear piercing / acupuncture / Apheresis / vaccinations / /

NaturalFeature

Channel Islands / Ross River / /

OperatingSystem

L3 / /

Organization

Human Research Ethics Committee / Blood Donor Centre / Australian Red Cross Blood Service / Blood Service / /

Person

Katy Gallagher / /

/

Position

female sex worker / Governor / dentist / MLA Minister / ACT Parliamentary Counsel / No Capillary Hb / /

Product

M-16 / /

URL

www.legislation.act.gov.au / /

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