Embryo Storage - Forms Requirement
Contact
RTL to obtain copies of the following forms to open an account and to authorize the transfer of your embryos.
- Registration - This form gives us information about the patients and identifies the method of payment of fees.
- Embryo Cryostorage Agreement - This form defines the terms and conditions of storage of cryopreserved embryos and the conditions for release of embryos from storage. We have different versions for patient couples and single patients.
- Specimen Transfer To RTL and Medical Data Release Authorization- This form obtains the patients’ consent for the release of medical data, as well as the consent to transfer the embryos to RTL for storage.
- Addendum to Embryo Cryostorage Agreement - This form is necessary only for patients who have tested reactive for HIV, Hepatitis B, Hepatitis C, HTLV I&II, or other sexually transmitted diseases. This form defines additional terms and conditions of storage and shipping that apply to potentially infectious specimens.