To assist our patients who wish to decline blood products in their care, AHN now provides an online Advance Directive/Blood Transfusion Refusal form. You may also download a PDF version of the form. If you are completing this form prior to admission, please print a copy and bring it with you to the hospital. It's also a good to print copies and provide them to your primary care physician.
Although representatives of the Allegheny Health Network (AHN) Bloodless Medicine Service are on call, there may not always be a representative available in the hospital.
Once completed and submitted, a copy will be sent to the email address you entered, and to the Bloodless Medicine Service at Allegheny Health Network.
Identify yourself as a “bloodless medicine” patient upon admission to the hospital, and ask that a consult be placed with the Bloodless Medicine Service.
Allegheny Health Network recommends that you update and re-submit this document when any of the information you submitted changes.
Call (412) 359-8787 to learn more about Bloodless Medicine at AHN.