Contact RTL to obtain copies of the following forms to open an account and to authorize the transfer of your semen specimens.
- Registration - This form gives us information about the patient and identifies the method of payment of fees.
- Semen Cryostorage Agreement - This form defines the terms and conditions of storage of cryopreserved semen and the conditions for release of semen specimens from storage.
- Specimen Transfer To RTL and Medical Data Release Authorization- This form obtains the patient’s consent for the release of medical data, as well as the consent to transfer the semen specimens to RTL for storage.
- Medical History-This form gives us information on the patient’s medical history and the reason for semen cryobanking.
- Addendum to Semen 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.