I have the instructions. They say "REVISED" in big bold letters across the top of the page.
It appears that for point 3, which addresses the use of minor fractions of blood in your treatment there is a note added:
NOTE: If the options in point 3 do not represent your choices, use point 6 (blank lines) to express your wishes, such as: "I accept all minor fractions of blood" or "I accept all minor fractions of blood except:," and then itemize only the fractions you reject. After the sentence in point 3 that reads "Regarding minor fractions of blood: [initial those that apply]," you may write "see point 6 below."
Also,
It appears that for point 4 which addresses medical procedures involving the use of your own blood that may temporarily leave your body there is also a note added:
NOTE: If the options in point 4 do not represent your choices, use point 6 (blank lines) to express your wishes, such as: "during the course of a surgical operation, I acceptall medical procedures involving the use of my own blood" or "during the course of a surgical operation, I accept all medical procedures involving the use of my own blood except:," and then itemize only the medical procedures you reject. After the sentence in point 4 that reads "Regarding medical procedures involving the use of my own blood, except diagnostic procedures, such as blood samples for testing: [initial those that apply]," you may write "see point 6 below."
I hope this helps.