Recognition Programs: Share Your Story

Mississippi Valley Regional Blood Center continually strives to educate people about the need for blood donations. By sharing your story about receiving or giving blood, you help people see how the simple act of donating blood can make a difference in someoneÕs life.

Please tell us your story.
Thank you

Please note: Fields marked (*) are required.
Please help us acknowledge your contribution:
First Name *
Last Name *
Email *

Phone

Please check one: *


My Story *

Release Signature (check to initial) *
Upon signature, I grant permission to allow use of my personal health information and name, as well as to be photographed and quoted in any written material for publication or media uses; and, understand the photograph becomes the property of the Mississippi Valley Regional Blood Center and/or the media.I understand that I may revoke this authorization at any time and the revocation will take effect on the day it is received in writing. I further understand that if the entity receiving the specified information is not a health care provider, it may no longer be protected by HIPAA regulations.
 

 

If you have questions about this website please contact donorsupport@mvrbc.com.