Below are the forms that ReproTech requires your long-term storage patients to complete prior to cryopreservation for ReproTech account setup.
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Please note: a separate Addendum to Cryostorage Agreement for potentially infectious clients is no longer required for new accounts. We have incorporated this language into our new storage agreements as of 7/31/20.
Specimen Shipping Liability Protection is available exclusively to ReproTech clients through CNA Financial Corporation, a premier insurance broker in the U.S.
- D ACQ-100 Registration – All Tissues
- N ACQ-100 Semen/Testicular Tissue Cryostorage Agreement
- AU ACQ-100 Specimen Transfer to RTL and Medical Data Release Authorization
Lab Staff Form:
- B DIS-050 Specimen Transfer Data – Fillable Version – This form must be completed by lab staff, not patients.