Get Started - New Account Set-Up

Welcome to ReproTech! To establish a cryostorage account for your reproductive tissue, review the following information, then begin your new account form below.

Good to Know:
  • The form process begins below then transitions to DocuSign where you’ll complete the agreement.
  • Don’t forget to save your form if don’t have time to finish it.
  • Optional: Video overview – what you need to fill out your form(s).

    Begin Forms Process

    Client Information


    Primary account holder (Client Depositor A) - Click To See Requirements
    1. Preferred Email
    2. Preferred Phone Number
    3. Birthdate
    4. (Optional) Social Security #
    5. Credit/Debit Card Info For Payment Verification
    6. Name & Zip Code Of Clinic
    7. Referring Facility Name, Address, & Doctor Name
    Secondary account holder (Client Depositor B) - Click To See Requirements
    1. Preferred Email
    2. Preferred Phone Number
    3. Birthdate
    4. (Optional) Social Security #
    Legal Guardian (Client Depositor B) of a Minor (Client Depositor A) - Click To See Requirements
    1. Minor's Full Legal Name & Date of Birth
    2. Guardian's Preferred Email
    3. Minor's Clinic Name & ZIP Code
    4. Guardian's Preferred Phone Number
    5. Guardian's Credit/Debit Card Info For Payment Verification
    Members of Employee sponsored programs - Click To See Requirements
    1. Progyny Members: Progyny ID#
    2. Carrot Members: Carrot Fertility Code