Health Screening Worksheet
These conditions typically disqualify a volunteer
from participating in the University of Iowa Marrow Donor Program. Please review this
If you answer YES to any question, this may
Please consult with us at 800-944-8220 before requesting the
Do you have - or have you had - any of the
conditions listed below?
cancer (exceptions: some skin cancers; some cervical cancers)
- Inherited disorders such as sickle cell
anemia, muscular dystrophy, etc.
- Neurological disorders, such as seizures,
multiple sclerosis, etc.
- Major organ dysfunction of the heart, lung,
bowel, liver or kidney
- Mitral valve prolapse with medication,
shortness of breath, irregular heartbeat, dizzy spells
- Insulin-dependent or medication-controlled
- Rheumatoid arthritis that is being treated
with methotrexate or gold therapy
- Medication-dependent asthma (exception: no
asthmatic attack for 5 years)
Are you healthy enough to be a donor?
When you join the University of Iowa Marrow Donor Program, a donor center for the Be The Match Registry®, you will complete a health questionnaire to confirm you meet the medical guidelines. The medical guidelines protect your health as a potential donor, as well as the health of transplant patients.
The guidelines from the Be The Match Registry® describe many factors that may make a person medically ineligible to join the Be The Match Registry. These guidelines do not include every situation that could prevent a person from donating. If you are identified as a potential match for a patient, you will receive a physical exam to be sure it is safe for both you and the patient to donate.