Affidavit Page - Blood/Medical Issues
1. Submit your information on the following form.
2. We will place your information on a Affidavit and convert it to PDF format.*
3. We will send the PDF back to you in an email.
4. Sign completed affidavit and have it notarized.
5. Send completed Affidavit to PO Box 311, Calvert City, KY 42029
*Information maybe edited for spelling and content.