In order to set up your account you must complete and return the following forms to us:
You may mail or fax your paperwork to us. Once we receive all of these forms, you may call to place your donor sperm order at any time.
Your account information, including Physician Authorization form, must be updated yearly. In the event that you change physicians, you will also need a Physician Authorization form signed by your new physician before we can release specimens to you. Please plan accordingly when placing orders.
- Information Sheet - view
- Authorization for Release (must be signed by your physician) - view
- Acknowledgement of Receipt of Privacy Notice - view
- LN2 Tank Rental Agreement - view
You may mail or fax your paperwork to us. Once we receive all of these forms, you may call to place your donor sperm order at any time.
Your account information, including Physician Authorization form, must be updated yearly. In the event that you change physicians, you will also need a Physician Authorization form signed by your new physician before we can release specimens to you. Please plan accordingly when placing orders.
