Heartland Center for Reproductive Medicine

Below are the forms that ReproTech requires your long-term storage patients to complete prior to cryopreservation for ReproTech account setup.

Specimen Shipping Insurance is available exclusively to ReproTech clients through CNA Insurance Co. Ltd.

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.

Donor Tissue

Semen/Testicular Tissue

Oocyte/Ovarian Tissue


Lab Staff form: