Enroll

All you need to do is download our enrollment forms and either the standard payment agreement OR Afford-A-Cord agreement.

You may also complete the enrollment forms online and either the standard payment agreement OR Afford-A-Cord agreement.

Or, if you prefer, we can mail you our CorCell Enrollment Kit. Please call us at (888) 882-2673 to request enrollment materials via mail.

If you have any questions or need assistance with filling out your enrollment forms, please call us.

You can return your signed contract and forms in one of three ways: 

  1. Fax: (888) 588-2673
  2. scan and e-mail: info@corcell.com
  3. Mail: CorCell Companies, Inc.
    1857 Helm Drive
    Las Vegas, NV  89119

That's it! Once we receive your enrollment forms we will ship your umbilical cord blood collection kit.

To ensure prompt enrollment make sure you have completed all of the necessary information, including:

  1. CorCell Program Agreement
  2. Informed Consent & Release
  3. Personal Information
  4. Mother's Medical History
  5. CorCell Program Pricing
 

More Information:

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