Using Your Cells

Think you need to use your stored cells? We're here to help.

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Using your cord blood stem cells in treatment

ViaCord Release Inquiry Form

Complete and submit the form below. ViaCord’s Clinical Affairs team will review your submission and reach out to discuss next steps, including when your request will be sent to the treating facility or doctor. You will need your ViaCord Child ID for the form. This ID number is associated with your ViaCord account. If you do not know it, don't worry. Our Customer Service team is happy to assist. Please call 800-998-4226 

 

Your Contact Information

YCI

ViaCord Account Information

Legal Guardian on ViaCord Account
Child Whose Cord Blood/Cord Tissue You’re Inquiring About

Treatment Details

Recipient Details
Treating Doctor / Doctor Providing Counsel
Treating Facility or Hospital
Additional Contact at Treating Facility/Hospital Help
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