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Storage account set-up
PRESERVE kit forms
Other forms


Completed, signed documents can be returned to CAN-AM at the following:
Scan/email to: info@canamcryo.com
Fax: 905-524-3936 or Toll free 1-877-772-6387
Mail: 102-1057 Main St. W., Hamilton, ON L8S 1B7
 


Storage account set-up


Blood Testing Request Form

Blood testing must be completed before sperm can be stored. Provide this list of required testing to your family doctor or oncologist to have testing completed before your first storage appointment.

DOWNLOAD PDF
 


Consent and Storage Agreements

Please complete the following document to store your sperm, eggs or embryos.


Client Depositors banking their own sperm (Self-banking)

COMPLETE ONLINE


Storage Clients storing donor sperm or donor eggs (Single Client)

COMPLETE ONLINE


Storage Clients storing donor sperm, donor eggs or embryos (Client Couples)

COMPLETE ONLINE
 


PRESERVE kit forms


PRESERVE Kit Instructions

Instructions to collect your sperm for personal banking, and ship them back to CAN-AM for freezing and storage.

DOWNLOAD PDF


Specimen Collection Documentation

Complete the details of your sperm sample collection. You may upload a copy of one piece of identification by completing the form online. Or you may email a copy directly to info@canamcryo.com.

DOWNLOAD PDF   COMPLETE COLLECTION DOCUMENT ONLINE


Other forms


Consent for Release and Transfer of Stored Sperm

This form is for clients with sperm stored at CAN-AM who want to some or all of their sperm to another facility. Complete this consent and return to CAN-AM to transfer your sperm to your fertility clinic.

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Consent for the Disposal of Stored Sperm

This form is for clients with sperm stored at CAN-AM who want to terminate their storage account and discard their sperm. Complete this consent and return to CAN-AM to dispose of your unneeded stored sperm.

DOWNLOAD PDF