Welcome to all institutions who have implemented Ovarian Tissue and/or Testicular Tissue Cryopreservation Protocols. ReproTech requires your institution to complete and sign the following agreement to establish a relationship for shipping cryopreserved reproductive tissue for long-term storage to one of our four cryostorage centers (Florida, Minnesota, Nevada or Texas). Please contact Lea Wilcox, Fertility Preservation Network Manager, to prepare an agreement for your center; by emailing or calling 651-478-5611.
Below are the forms required by patients to set up a long-term storage account with ReproTech. Please have your patients/families complete the applicable forms before tissue retrieval and return to Jeanne Blank, firstname.lastname@example.org or via FAX to 651-489-0442. Please call Jeanne with questions about account set-up or forms at 651-489-0827.
Specimen Shipping Liability Protection is available exclusively to ReproTech clients through CNA Financial Corporation, a premier insurance broker in the U.S.
ReproTech offers its Verna’s Purse Financial Assistance Program for qualified patients.The eligibility criteria and application are included in the list of forms below. Please note that approval is not guaranteed, an application must be completed and submitted by each qualifying patient to ReproTech, who will advise if approved.
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 12/31/20.
Each time you access this webpage, please clear your browser cache to ensure you are viewing the most recent version of our forms. Learn how to clear your cache: https://its.uiowa.edu/support/article/719