Company Name Template

Welcome patients of (insert clinic name). Below you will find the forms required to set up an account with ReproTech, or at the bottom, the forms needed to have your sperm, embryos or oocytes transferred back to (insert clinic name) in (insert clinic city).

Please note that when setting up an account, the Addendum forms are only needed for those individuals who have tested reactive for a communicable disease.

Also, please note that when completing paperwork to have your specimens returned to (insert clinic name), the Special Circumstance Release Documentation is also only required for those individuals who have either tested reactive for a communicable disease or are missing some of the required testing. The Specimen Transfer From RTL and Medical Information Release form will require your signatures in the presence of a notary.

Specimen Shipping Insurance is available exclusively to ReproTech clients through Falvey Cargo Insurance Group, a premier insurance broker in the U.S.

We look forward to serving you.

Embryo

Semen/Testicular Tissue

Oocyte/Ovarian Tissue

Donor Tissue

All Tissues – Transfer FROM RTL