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Request Patient Materials

 

Healthcare Providers Request
for Educational Materials

To receive more information for your patients about preserving their babies' cord blood through the Cryo-Cell Program

We would be happy to send you an information packet that we have developed on the Cryo-Cell U-Cord® Preservation Program. It includes information about our Company and our Program as well as brochures and videotapes you can share with your patients.

If you would like to receive more information on Cryo-Cell, you can either:

• Call us, toll-free, at 800-STOR-CELL (800-786-7235)

• Complete the following Information Request Form:

Request Materials Form
  *   Required Fields
Mr. Mrs. Ms. Dr. Other
First Name*
Last Name*
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Practice Name*
Address Line 1*
Address Line 2
City*
State/Province*
Zip/Postal Code*
Country*
Phone*
Fax
E-mail
Specialty
Number of New OB Patients Per Month*
Please provide the following complementary materials for use in our practice:
Educational Guide for Parents
Caregiver Guides
Please provide the following complementary materials to pass along to patients: (we suggest ordering a 90-day supply)
English Brochures
Spanish Brochures
Save the Stem Cells? CD
Save the Stem Cells? Video
How Did You Hear About Cryo-Cell?
 
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