ViaCord Customers

ViaCord Release Inquiry Form

Complete and submit the form below. Upon receipt, the ViaCord Clinical Affairs team will review your request. A team member will be in touch to confirm receipt and ask any follow-up questions, if necessary. They will let you know when the information will be sent to the treating facility or doctor.

If your doctor determines that stem cell therapy may be advantageous, we will work with your medical team to provide documentation and samples so that they can plan for treatment. We will also coordinate on the delivery of your child’s stem cell unit to the appropriate medical facility.