Cord Blood


To SAVE the cord blood for your child please complete the following forms: To DONATE the cord blood please complete the following forms:
Registration Registration
Sample and Test Release Record Sample and Test Release Record
Client Service Agreement Allogenic Informed Consent Form
Autlogus-Sibling UCB Informed Consent Form Note: We are only accepting donations from certain hospitals. Please call your hospital to find out if your hospital is one of them.
The following registration forms for the Ellie Katz Umbilical Cord Blood Program can be downloaded by clicking on each one below:
Cord Blood Accepted for Metropolitan Area Only
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Mail your completed forms to:
Community Blood Services
Bergen Community Regional Blood Center 
P.O. Box 39 
Paramus, NJ 07653-0039
Attention:Umbilical Cord Blood Program
About Us
Blood Donations
Cord Blood
Clinical Services