EVMS Cryopreserved (Frozen) Reproductive Cells and Tissues (CRCT) Request Form: Do I have frozen samples remaining in storage at EVMS-JI?
EVMS Jones Institute (EVMS-JI) has closed its IVF Program and discontinued (ended) its Cryopreservation (Cryo) Program.
The sperm, eggs, embryos and reproductive tissues that remain in storage are safeguarded and monitored. However, according to the terms of EVMS-JI consent forms signed by patients, EVMS-JI intends to discard all sperm, eggs, embryos, and reproductive tissues that remain in storage on 12/1/2022. It is your responsibility to tell us what you want done with any samples you believe are in storage; and you may be required to pay storage fees until you decide. We are committed to working with you to accomplish your goals. In order to implement your wishes and discontinue your storage billing, we must receive your completed paperwork (including all consents and supporting documents) by September 1, 2022.
Please complete the information below for your own samples. For Oocytes (Eggs) and Sperm, only one person’s information is needed (the person who provided the specimens). For embryos, information for both partners is required unless donor sperm was used. In order to give you an accurate record of what is in storage, particularly if your partner has a different last name than you, it is always best to provide as much information as possible. Please be sure to use the names you used when a patient at EVMS-JI.
If you have any questions or concerns, please contact us at email@example.com or 757-446-8944.
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