The form below will send us a request to search our database for a patient HLA match. Please provide all information where applicable to allow a thorough search and avoid delay. If you cannot view the PDF file, email us at: firstname.lastname@example.org or call us at 866.389.4659 and we will gladly send it to you.
Enter your patient's HLA typing and view matching units immediately.
You need Acrobat Reader 4.0 (or higher) to view the PDF document properly. If you do not have Acrobat Reader you can download it here.
You can also print the complete form and fax it to 626-430-5797, or mail it to us at: StemCyte™ Cord Blood Bank, Attn: Monica Chen, 1589 W. Industrial Park St. Covina, CA 91722.