Click here for Hospital Inventory and Patient Management Procedures

For information on the prescribing of human blood and blood components, view the Circular of Information.

General Ordering and Reporting Forms

Daily Blood Inventory and Orders

Hospital-to-Hospital Transfer Notice

Hospital Return

Issue/Complaint Report

Daily Blood Orders (for customers using the online ordering system only; use this form if online ordering is not accessible)

Adverse Transfusion Event Reporting

Choose the appropriate form bundle based on the type of adverse transfusion event:

Report of Suspected Hemolytic Transfusion Reaction

Suspected Transfusion-Associated Sepsis

Report of Suspected Transfusion-Transmitted Infection

Report of Suspected TRALI

Other (suspected adverse transfusion events that do not fall under any of the above types):
Report of Adverse Transfusion Event

Autologous, Directed and Therapeutic Phlebotomy Patients

Request for Autologous Collections

Request for Directed Donations

Therapeutic Phlebotomy Order

Reference Laboratory Services

Request for Immunohematology Services

Request for Special Types of Red Blood Cells

Specimen Pickup Request

Transfusion Service Forms

Report of Adverse Patient Symptoms or Reactions

Request for Transfusion Services

All units of blood components are collected from volunteer blood donors in accordance with Food and Drug Administration (FDA) requirements and the most recent edition of AABB Standards. LifeSouth Community Blood Centers, Inc. is licensed by the FDA (license #1647).

LifeSouth’s contract laboratory practices and procedures conform to the requirements of the FDA, the AABB, the Clinical Laboratory Improvement Act of 1988 (CLIA ’88), and current Good Manufacturing Practices (cGMPs) (as per Title 21 of the Code of Federal Regulations).

Dr. Juan Merayo-Rodriguez, Dr. Chris Lough and Dr. Peter Miller are the Medical Directors for LifeSouth. Technical Director for LifeSouth is Bill Martinez.

Lab Certificates

AABB Certificate of Accreditation

CLIA Certificate – IRL

CLIA Certificate- Atlanta Region

CLIA Certificate- Putnam

CLIA Certificate- North Alabama

Blood Donor Screening Tests

AL Clinical Laboratory License- Baldwin Region

AL Clinical Laboratory License- Birmingham Region

AL Clinical Laboratory License- Brookwood Donor Center

AL Clinical Laboratory License- Cullman Donor Center

AL Clinical Laboratory License- East Alabama Region

AL Clinical Laboratory License- Eliza Coffee Memorial Donor Center

AL Clinical Laboratory License- Huntsville Hospital Donor Center

AL Clinical Laboratory License- Marshall Region

AL Clinical Laboratory License- Mobile Region

AL Clinical Laboratory License- Montgomery Region

AL Clinical Laboratory License- Morgan Region

AL Clinical Laboratory License- North Alabama Region

AL Clinical Laboratory License- Shoals Region

AL Clinical Laboratory License- St. Vincent’s East Donor Center

AL Clinical Laboratory License- Wiregrass Region

FL Clinical Laboratory License

FL Clinical Laboratory License – Putnam

GA Clinical Laboratory License – Greater Atlanta Region

GA Clinical Laboratory License – NEGA

GA Clinical Laboratory License – SOCR

Hospital Notifications

Mitigating the Anti-CD38 Interference with Serologic Testing

Pathogen Reduced Platelets

ZIKA Virus (ZIKV) and Tranfusion Safety

AABB Standards and

AABB Standard

RBC Components from Apheresis Collections

Directed Designated Donations

Autologous and Directed Blood Donations for Patients

Upcoming Zika Virus Testing

LifeSouth is the sole blood provider for some of these hospitals and provides primary or supplemental supply to several hospitals in Alabama, Florida and Georgia.

Our Hospitals

Athens-Limestone Hospital
Baptist Medical Center East
Baptist Medical Center South
Birmingham VA Medical Center
Brookwood Medical Center
Bullock County Hospital
Children’s Hospital of Alabama
Citizens Baptist Medical Center
Community Hospital Tallassee
Coosa Valley Medical Center
Crenshaw Community Hospital
Crestwood Medical Center
Cullman Regional Medical Center
Dale Medical Center
DCH Regional Medical Center
Decatur Morgan Hospital
East Alabama Medical Center
Eliza Coffee Memorial Hospital
Elmore Community Hospital
Flowers Hospital
Georgiana Medical Center
Helen Keller Hospital
Highlands Medical Center
Huntsville Hospital
Jack Hughston Hospital
Jackson Hospital
Lake Martin Community Hospital
Lawrence Medical Center
Madison Hospital
Marshall Medical Center North
Marshall Medical Center South
Mizell Memorial Hospital
Mobile Infirmary Medical Center
North Baldwin Infirmary
Parkway Medical Center
Prattville Baptist Hospital
Princeton Baptist Medical Center
Regional Medical Center Anniston
Regional Medical Center Jacksonville
Russell Medical Center
Shelby Baptist Medical Center
Shoals Hospital
Southeast Alabama Medical Center
Springhill Memorial Hospital
St. Vincent’s Birmingham
St. Vincent’s Blount
St. Vincent’s East
St. Vincent’s St. Clair
Thomas Hospital
Trinity Medical Center
UAB Medical West
University of Alabama at Birmingham Hospital
USA Children’s & Women’s
USA Medical Center
Walker Baptist Medical Center
Wiregrass Medical Center

Baptist Medical Center Beaches
Baptist Medical Center Jacksonville
Baptist Medical Center Nassau
Baptist Medical Center South
Bayfront Health Brooksville
Bayfront Health Spring Hill
Citrus Memorial Hospital
Lake Butler Hospital / Hand Surgery Center
Lake City Medical Center
Lake City VA Medical Center
Malcom Randall VA Medical Center
Memorial Hospital
North Florida Reception Center Hospital
North Florida Regional Medical Center
Orange Park Regional Medical Center
Oak Hill Hospital
Putnam Community Medical Center
Seven Rivers Regional Medical Center
Shands Lake Shore Regional Medical Center
Shands Live Oak Regional Medical Center
Shands Starke Regional Medical Center
UF Health Shands Cancer Hospital
UF Health Shands Children’s Hospital
UF Health Shands Hospital
Wolfson Children’s Hospital



Atlanta Medical Center
Atlanta Medical Center – South Campus
Atlanta VA Medical Center
Barrow Regional Medical Center
Children’s Healthcare of Atlanta at Egleston
Children’s Healthcare of Atlanta at Scottish Rite
Emory Johns Creek Hospital
Emory Saint Joseph’s Hospital
Emory University Hospital
Emory University Hospital Midtown
Grady Health System
Habersham Medical Center
Higgins General Hospital
Martin Army Community Hospital
Medical Center of Central Georgia
Newton General Hospital
North Fulton Hospital
Northeast Georgia Medical Center
Northside Hospital
Northside Hospital – Forsyth
Piedmont Atlanta Hospital
Piedmont Henry Hospital
South Georgia Medical Center
Spalding Regional Medical Center
Sylvan Grove Hospital
Tanner Medical Center/Carrollton
Tanner Medical Center/Villa Rica
Warm Springs Medical Center
Wellstar Cobb Hospital
Wellstar Kennestone Hospital
West Georgia Medical Center