Forms

Forms to request the home transfusion service

Headquarter in Ragusa

Request form to activate the home transfusion service
Request form to select an accredited association providing the home transfusion service
Home transfusion request form
Information on transfusion of blood components and / or infusion of blood products
Informed consent form
For more information access the SIMT website

Activation request

In the “Forms” section you can read and/or print out the prescribed application forms.

Forms

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PRIVACY & COOKIES POLICY

OPENING HOURS

  • Monday - Friday: 8:00 am - 8:00 pm
  • Saturday: 8:00 am - 1:00 pm

RAGUSA

  • Via Mariano Rumor, 10
  • Tel 0932.227901

SIRACUSA

  • Viale Santa Panagia, 141
  • Tel 0931.759822

TRAPANI

  • Via Orti, 118
  • Tel 0923.593571

Associazione SAMOT Ragusa Onlus – Struttura accreditata in conformità al D.A. n. 2280/11 notificata dal competente Assessorato Regionale alla Salute con D.D.G. n. 942 del 16 Maggio 2013.
C.F./P.I. 01168400883

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