Requirements

Below is a list of requirements needed to begin your long-term storage process with ReproTech:

Below is a list of form requirements for each type of storage available at ReproTech. Please find the section on the type of storage you need for more information.

To download the forms you need, you must first
Create an Account
Then
Download Your Forms


Each type of storage has different form requirements, see below.

Contact RTL to obtain copies of the following forms to open an account and to authorize the transfer of your semen specimens.

  1. Registration - This form gives us information about the patient and identifies the method of payment of fees.
  2. Semen Cryostorage Agreement - This form defines the terms and conditions of storage of cryopreserved semen and the conditions for release of semen specimens from storage.
  3. Specimen Transfer To RTL and Medical Data Release Authorization - This form obtains the patient’s consent for the release of medical data, as well as the consent to transfer the semen specimens to RTL for storage.
  4. Treatment History - This form gives us information on the patient’s medical/treatment history and the reason for semen cryobanking.
  5. Addendum to Semen Cryostorage Agreement - This form is necessary only for patients who have tested reactive for HIV, Hepatitis B, Hepatitis C, HTLV I&II, or other sexually transmitted diseases. This form defines additional terms and conditions of storage and shipping that apply to potentially infectious specimens.

Contact RTL to obtain copies of the following forms to open an account and to authorize the transfer of your embryos.

  1. Registration - This form gives us information about the patients and identifies the method of payment of fees.
  2. Embryo Cryostorage Agreement - This form defines the terms and conditions of storage of cryopreserved embryos and the conditions for release of embryos from storage. We have different versions for patient couples and single patients.
  3. Specimen Transfer To RTL and Medical Data Release Authorization - This form obtains the patients’ consent for the release of medical data, as well as the consent to transfer the embryos to RTL for storage.
  4. Addendum to Embryo Cryostorage Agreement - This form is necessary only for patients who have tested reactive for HIV, Hepatitis B, Hepatitis C, HTLV I&II, or other sexually transmitted diseases. This form defines additional terms and conditions of storage and shipping that apply to potentially infectious specimens.

Contact RTL to obtain copies of the following forms to open an account and to authorize the transfer of your oocytes.

  1. Registration - This form gives us information about the patients and identifies the method of payment of fees.
  2. Treatment History - This form gives us information on the patient’s medical/treatment history and the reason for oocyte storage (cryobanking).
  3. Oocyte Cryostorage Agreement - This form defines the terms and conditions of storage of cryopreserved oocytes and the conditions for release of eggs from storage.
  4. Specimen Transfer To RTL and Medical Data Release Authorization - This form obtains the patient's consent for the release of medical data, as well as the consent to transfer the oocytes to RTL for storage.
  5. Addendum to Oocyte Cryostorage Agreement - This form is necessary only for patients who have tested reactive for HIV, Hepatitis B, Hepatitis C, HTLV I&II, or other sexually transmitted diseases. This form defines additional terms and conditions of oocyte storage and shipping that apply to potentially infectious eggs.

Contact RTL to obtain copies of the following forms to open an account and to authorize the transfer of ovarian tissue.

  1. Registration - This form gives us information about the patients and identifies the method of payment of fees.
  2. Treatment History - This form gives us information on the patient’s medical/treatment history and the reason for ovarian tissue storage (cryobanking).
  3. Ovarian Tissue Cryostorage Agreement - This form defines the terms and conditions of storage of cryopreserved ovarian tissue.
  4. Specimen Transfer To RTL and Medical Data Release Authorization - This form obtains the patient's consent for the release of medical data, as well as the consent to transfer the ovarian tissue to RTL for storage.
  5. Addendum to Ovarian Tissue Cryostorage Agreement - This form is necessary only for patients who have tested reactive for HIV, Hepatitis B, Hepatitis C, HTLV I&II, or other sexually transmitted diseases. This form defines additional terms and conditions of ovarian tissue storage and shipping that apply to potentially infectious tissue.

There are certain testing requirements that must be followed depending on the type of storage you will be using. Find the section that applies to you for a full list of these requirements.

Standard storage fees are assessed for individuals (or gamete donors) who have completed and are non-reactive for at least Anti-HIV 1&2 (AIDS) testing. Sperm specimens will be accepted without Anti-HIV 1&2 (AIDS) or reactive testing at Potentially Infectious storage fees.

We will accept semen specimens from patients who have tested reactive for one or more of the following: Anti-HIV 1&2, HCV, HTLV I&II, and HBsAg.

Standards and/or Regulations require that patients complete the HBsAg, Anti-HCV in addition to Anti-HIV 1&2 testing prior to release of specimens from RTL for transfer back to patient’s clinic for his use.

Standard embryo storage fees are assessed when both client depositors (or gamete donors) have completed and are non-reactive for at least Anti-HIV 1&2 (AIDS) testing.  Embryos will be accepted without Anti-HIV 1&2 (AIDS) or reactive testing at Potentially Infectious storage fees.

We will accept embryos from patients who have tested reactive for one or more of the following: Anti-HIV 1&2, HCV, HTLV I&II, and HBsAg.

Standards and/or Regulations require that patients complete the following serology/virology testing prior to release of embryos from storage with RTL for transfer back to patient’s clinic for use: HBsAg, and Anti-HCV, in addition to Anti-HIV 1&2.

Standard storage fees are assessed when the client depositor has completed and is non-reactive for at least Anti-HIV 1&2 (AIDS) testing. Oocytes will be accepted without Anti-HIV 1&2 (AIDS) or reactive testing at Potentially Infectious storage fees.

We will accept eggs from patients who have tested reactive for one or more of the following: Anti-HIV 1&2, HCV, HTLV I&II, and HBsAg.

Standards and/or Regulations require that patients complete the following serology/virology testing prior to release of specimens from RTL for transfer back to patient’s clinic for use: HBsAg, and Anti-HCV, in addition to Anti-HIV 1&2.

Standard storage fees are assessed when the client depositor has completed and is non-reactive for at least Anti-HIV 1&2 (AIDS) testing. Ovarian tissue will be accepted without Anti-HIV 1&2 (AIDS) or reactive testing at Potentially Infectious storage fees.

We will accept ovarian tissue from patients who have tested reactive for one or more of the following: Anti-HIV 1&2, HCV, HTLV I&II, and HBsAg.

Standards and/or Regulations require that patients complete the following serology/virology testing prior to release of specimens from RTL for transfer back to patient’s clinic for use: HBsAg, and Anti-HCV, in addition to Anti-HIV 1&2.

 

RTL provides storage services for patients who have tested reactive for any communicable disease, such as HIV, Hepatitis B, Hepatitis C or Syphilis. RTL can help you eliminate potential cross-contamination issues with this program.

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