LifeLine Cryogenics Cord Blood Enrollment Process

A Step by Step Guide to registering and banking with LifeLine Cryogenics Cord Blood Banking

The links below contain the forms you will need to enroll with Lifeline Cord Blood. You can fill them out on your computer, print out and fax or mail them to us. If faxing, we will still need for the originals to be mailed to us at 1275 Summer St., Suite 204, Stamford, CT 06905

Important: Email may only be used in order to expedite the enrollment process. Original copies will need to be mailed as well if using this option.

Download the Interactive LifeLine
Cord Blood Enrollment Form

For more information about LifeLine Cryogenics Cord Blood Banking Service:

• Call us toll free at 1-866-967-2796
• E-mail us at info@lifelinecryogenics.com
• If you are in the area, please visit our office at 1275 Summer St, Suite 204, Stamford, CT 06905

We will send you a portfolio packet of-up-to date information on cord blood banking, the packet will include information about our services and the necessary enrollment materials.

How to enroll
To enroll in LifeLine Cryogenics Cord Blood Banking Service, you must complete and sign all the enrollment forms listed below. If you do not have all the necessary forms, they are all included in the Interactive LifeLine Cryogenics Cord Blood Enrollment Form (Click to Download).

• LifeLine Cryogenics Cord Blood Banking Enrollment Form
• LifeLine Cryogenics Cord Blood Banking Enrollment Agreement
• Maternal History Form
• Informed consent for infectious disease testing

Mail or fax the complete list of enrollment forms to Lifeline Cryogenics, along with a $300.00 deposit to:

Mail:
Lifeline Cryogenics
1275 Summer St., Suite 204
Stamford, CT 06905

Fax:
(203) 967-2795

Upon receipt, the complete list of enrollment forms and $300.00 deposit, a cord blood collection kit will be sent federal express 3 day service.

Note: For parents enrolling within 3 weeks of due date, expedited delivery services is offered at additional charges.

Once Enrolled with LifeLine Cryogenics Cord Blood Banking:
Bring the Lifeline Cryogenics Cord Blood Collection Kit with you to the hospital. (Upon admission to the hospital, let your doctor and nurse know about the collection kit.)

Mother’s Blood:
Upon admission to the delivery area, have the mother’s blood drawn in the three tubes provided in the kit. The tubes must be dated and labeled correctly by the individual drawing the blood.

Collection of the Cord Blood:
After the baby is born and the cord is clamped and cut, the cord blood will be collected by the gravity using our especially designed cord blood collection bag. The collection of cord is a quick and painless procedure to both mother and child.

After the Collection of Cord Blood:
Call LifeLine Cryogenics Cord Blood Banking toll free at (866) 967-2796. We are available 24 hours a day. We will then arrange for our dedicated medical staff to transport your cord blood specimen directly to Lifeline Cryogenics facilities. The cord blood specimen must be picked up and delivered to our facilities within a 24-36 hour time window. The cord blood specimen must be kept at room temperature. Do not refrigerate.

Arrival at LifeLine Cryogenics Cord Blood Banking:
Upon receipt of the cord blood at our facilities, our technologist will test and process the cord blood. During the processing, the cord blood will be tested for cell viability, total nucleated cell count, blood type and blood cultures. Once the processing is completed, the cord blood specimen will be frozen in our state-of-the-art control-rate freezer.

Once the cord blood specimen is frozen:
We will notify you in writing regarding the successful processing and freezing of your cord blood. At any time please feel free to call our laboratory with any questions you may have.

Important care information for the Cord Blood Collection Kit:

• Store the kit at room temperature to avoid temperature extremes.
• Do not leave Cord Blood Collection Kit in your car
• To maintain sterility of the Cord Blood Collection Kit, the seal must not be broken until time of delivery.

Order Your Kit