ReproMed Ltd. Client Forms

Semen orders being shipped to Canada may be ordered through one of our distributors,

ReproMed Ltd. Please contact them directly to place your order for donor sperm.

www.canadaspermbank.ca

56 Aberfoyle Crescent

Toronto, Ontario

M8X 2W4
Phone: 1-877-249-4282 Ext: 2
Fax: 1-877-706-0586

E-Mail: spermbank@repromed.ca

Other forms and brochures may be requested from our Client Service Specialists. Please contact us if you need assistance.

• Terms of Use Letter - This document explains what you can expect from our program and what we can expect from you when purchasing our semen and other services.

• International Patient Photo Agreement and Order Form- for those who live outside the US and want to order adult/Lifetime photos

• International Identity (ID) Option Patient Agreement- for those who live outside the US and   want to use an ID Option donor

• International Identity (ID) Option Birth Registration Form- for those outside the US and want to register the birth of a child from an ID Option donor

• ReproMed Ltd. Instructions for Semen Identification Thawing and Specimen Quality Standard

Forms/Policies in French

• Terms of Use Letter - This document explains what you can expect from our program and what we can expect from you when purchasing our semen and other services.

• International Identity (ID) Option Patient Agreement -Accord international didentification du patient

• International Identity (ID) Option Birth Registration- Formulaire denregistrement de naissance Option didentification internationale

• International Patient Photo Agreement and Order Form - Accord international de divulgation de photographies de patient et bon de commande

• ReproMed Ltd.Instructions for Semen Identification, Thawing and Specimen Quality Standard - Instructions relatives lidentification, au dgel et la norme de qualit du spcimen ReproMed Ltd.

Physician Only Forms- click here

Important Policies

• CLI and Fairfax Cryobank limit the total number of births outside the US for any donor based on the application of several criteria. Specifically, a donor's sales will cease when either of the following criteria is reached:

  1. Maximum of 15 family units (children from the same donor living in one home) reported outside the US

  2. Families who have children by the same donor will be sold additional donor units, if available, as 'Sibling Pregnancies Only' units.

  3. In addition, we also monitor the reported location of births and limit the geographic distribution of a donor consistent with the guideline of the American Society of Reproductive Medicine (ASRM).

  4. In order to help us monitor the number of births associated with any donor, it is important that everyone be diligent in reporting births to us. Please go to the pregnancy reporting page for CLI  or pregnancy reporting page for Fairfax Cryobank or call us with your information.

  5. If a donor has reached his maximum limits on families or total sales, then reactivation of that donor may be available for sibling pregnancies. (Reactivation means that a donor can be asked to provide additional samples after he has left the program. The donor must first agree to be reactivated and if he does the client agrees to pay all costs which typically exceed several thousand dollars.)

• Privacy Policy

Fairfax Cryobank Brochures available for download:

• Donor Sperm Services: Confidence Delivered
• Donor Insemination: Top 10 Things you Need to Know
• Donor Insemination: What You Need to Know- in French

Cryogenic Laboratories, Inc Brochures available for download:

Donor Sperm: Patient Information

Donor Insemination: What You Need to Know

Monthly e-news

To be added to our Fairfax Cryobank monthly e-news, please provide us your email address.

To be added to our Cryogenic Laboratories monthly e-news, please provide your email address.

Video about our Donor Sperm Services

View sample Video Clips here.