The importance of completing your enrollment forms.
We're thrilled you've decided to join the ViaCord family and we want to be sure you make the most of our banking service. The best way to do that is to have your enrollment forms complete and on record with us, before your baby arrives. Should you ever need to access your baby's stem cells, the information provided on these forms will be required by your physician before any stem cell treatment can begin. Having complete records will help to make the collection release process timely and efficient.
Your enrollment forms — which include your service agreement and health history questionnaire — will take approximately 10 minutes to complete and they're easily accessible;
- Download your enrollment forms; available in English, Spanish, or Chinese.
- Locate the printed forms provided in your Welcome Package.
- Locate the printed forms provided in your Collection Kit.
The simplest way to return your completed enrollment forms is to e-mail them to FORMS@viacord.com. You can also fax them toll-free to 1-866-565-2243 or mail them to:
ViaCord Clinical Affairs
2375 Progress Drive
Hebron, KY 41048