Your Canadian Blood Services stem cells profile

Please fill in your information for Canadian Blood Services Stem Cell Registry. Everything you provide here will help us match you to a patient and tell us how to contact you.

Your unique buccal swab kit number is: In Progress ()

Required fields

Personal Information

If you need to make changes to your name, date of birth, or email, please contact us.

First name

Last name

If you have a CBS Donor Card, enter the #

Have you ever registered to be a stem cell donor outside of Canada or with Hema-Quebec?

Yes

Date of birth

Email address

Confirm email address

Sex at birth

Contact information

Please keep your contact details up to date. We'll use this to notify you in case we need more information, or if you're matched to a patient in need of a transplant.

Home address

City

Province

Primary phone number

Mobile phone number

Work phone number

Postal code

Preferred language of correspondence

Alternate contact information

Provide the contact details of someone outside your household. In case we're unable to reach you, we'll get in touch with your alternate contact.

First name

Last name

Relationship to you

Primary phone number

Alternate email

Height and Weight

These measurements are important factors throughout the selection and donation process if you're a match.

Your height

Your weight

Ethnic background

Patients who share your ethnic background are much more likely to be a match to you.

You

If you have any questions, please contact Canadian Blood Services at 1 888 2 DONATE (1-888-236-6283).