Information and documents needed to ship sperm to our facility

  1. Checklist for Shipping Sample(s) IN to ART WRNMMC (for personal use)
  2. Checklist for Accepting Cryo Sperm Specimens (for personal use)*This checklist is needed if the sperm sample was obtained from a sexually intimate partner (SIP), or a directed donor (DD). It is also needed if the sperm sample was obtained from an anonymous donor (AD) at a cryo facility not listed below. Please DO NOT complete this form if the sperm sample was obtained from an anonymous donor (AD) at any of the following cryo facilities: California CryoBank, Cryogenic Laboratories/ Fairfax CryoBank, Jones Institute, Xytex, Manhattan CryoBank or Seattle Sperm Bank.
  3. Consent to Ship and Store Cryopreserved Specimens
  4. CMV Information and Permission Form (only need to be completed if the sperm donor is CMV positive and the patient to be inseminated is CMV negative).
  5. In the event that a physician signed requisition form is needed, it will be completed by an ART staff member and sent to the IVF/ cryo facility. To request this form, call our lab line at 301-400-2149 and leave a message with your name, date of birth, and the IVF/cryo facility to which the form should be sent. Please contact the IVF/cryo facility approximately 48-72 business hours after contacting the Institute to ensure that the form was received.