MANAGE MY ACCOUNT

SUBMIT THIS FORM FOR COMMON REQUESTS AND QUESTIONS ABOUT YOUR ACCOUNT.

How can we help?(*)

Change my billing frequency.
Important billing information:

Refer to Cryo-Logix’s fee schedule for current pricing.
Maximum prepaid storage period is 10 years.
Each billing cycle option is prepaid and non-refundable.
Once the billing cycle has been changed, an updated invoice will be emailed to you.
Invoices are due upon receipt.

Next steps for transfer:

Cryo-Logix will email the CLX Transfer form Authorization and Medical Data Release form to you.
This form must be signed in the presence of a notary by all Clients.
Check with your clinic to complete any consent forms/fee payments.
Both Cryo-Logix and your clinic forms require completion for processing.
Allow 3-6 weeks for processing and scheduling with your clinic for shipment.
Additional protocols are required if you are using a gestational carrier, have a reactive test result on file, or want to ship to a non-US clinic.
Please provide the following information.

Clinic you're working with:

Approximate procedure/FET date

Any special circumstances or other information we need to know about?

Terminate my storage account.

Cryo-Logix will email you a Termination of Account Form.
This form must be signed in the presence of a notary by all Clients.
Per the terms of your Cryostorage Agreement, storage must be paid until a termination form is completed or all specimens are shipped.

Provide any additional information you need us to know:

Donate my embryos.

Start by reviewing donation options then contact us for the necessary paperwork. Some forms will require notarization.
Depending on the agency you select for embryo donation; this process can take several months.

If you know what donation option you want list it here. Provide any additional information/questions. A Cryo-Logix representative will contact you:

I need help with something else.

What can we help you with?

Location where my specimens are currently stored:(*)

First Name(*)

Last Name(*)

Your Email(*)

Your Phone #(*)

Date of Birth: (*)

By submitting this form, you affirm that the person receiving the email and person named above are the same person and you are agreeing to accept personal health information received at the email address entered above.
Thank you for contacting us to manage your account. You can expect to hear back from a Cryo-Logix representative within 1-2 business days.