BLOOD DRAW / IV VISIT PLANNER
Use the ordering team's instructions. This sheet does not teach needle insertion or replace test preparation.

Planned test, infusion or procedure:
Appointment and location:
Fasting / water instructions, if any:
Medicine or supplement instructions confirmed with:
Fluid restrictions or other preparation issues to discuss:
Previous fainting, difficult access or needle anxiety:
Adhesive / skin-preparation allergies to report:
Comfort support requested:

BEFORE LEAVING
Site care and activity instructions:
Contact for continued bleeding or worsening site symptoms:
If an IV remains: purpose, responsible team and care arrangements:
Who explains test results and when:
Unanswered question:

Yenra | Updated September 11, 2026
Guide and source context: https://yenra.com/venipuncture/
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