Website: Department of Obstetrics and Gynecology at Hackensack University Medical Center
Enrollment
There are two ways to enroll:
1. Click here to enroll using our online e-commerce system
2. Download or contact us to send you the following forms:
Client Contact Information Form
Maternal Medical History Form
Informed Consent Form
Enrollment Agreement
Complete the forms and then mail or fax them to:
DomaniCell, LLC
155 State Street
Hackensack, NJ 07601
Fax: 877-884-9661
Attn: Cord Blood Enrollment
For your information you may download any of our brochures:
cGMP - The DomaniCell Advantage: Make it Yours
Life Saving Applications of Cord Blood
Simple Steps, a Lifetime of Potential
Cord Blood Banking Flyer
Cord Blood Banking Program Brochure
Press Release: Hackensack University Medical Center Offers Hospital-Based Family Cord Blood Collection and Storage Services
QUESTIONS? Call 1-888-DO-MANI or email info@domanicell.com
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