Ordering Anonymous Donor Semen
The forms and applications available on this page are in Portable Document Format (PDF). Adobe Reader, a free software application, is required for viewing and printing these PDF documents.
Placing Semen Orders
Orders may only be placed by a physician, clinic, or by a patient who has an account with IDANT. We strongly recommend that prospective clients review the donor’s short and long profiles before selecting a donor. We also strongly encourage clients to contact the semen bank for the donor’s cytomegalovirus (CMV) status. CMV IgG positive donors should be used only for CMV-seropositive recipients. CMV IgG negative donors may be used for CMV-seropositive or CMV-seronegative recipients.
If you are a physician and would like to open an account, complete the Physician / Clinic Account and Credit Application in the IDANT brochure. Submit the form to IDANT along with a copy of your license. The form and the copy of your license may be faxed to us provided that we receive the original paperwork within one week. An account can be opened for you the next business day after we receive these documents. Our Accounting Department will contact you for your account number.
If you are a patient and want to establish an account in your own name so that you may deal directly with us, complete the Patient Account Application form in the IDANT brochure. The form and the copy of your physician’s license may be faxed to us provided we receive the original paperwork within one week. An account can be opened for you the next business day after we receive these documents. Our Accounting Department will contact you for your account number. In the event you change physicians after establishing an account with us, you will need to inform the laboratory and again complete a new form.
Semen specimens are shipped “dry” tank shippers topped off with excess liquid nitrogen. Liquid nitrogen is extremely cold (-321 degrees Fahrenheit). Therefore, care should be used when handling the specimens. Package inserts, which include specimen information, insemination instructions, and shipping tank holding time are included in every shipment.
Invoices are issued on a bi-monthly basis to physicians. Statements are issued at the end of each month to those accounts that show an outstanding balance. Patients who have an account with us are billed at the time the order is placed. The credit card provided on their account application will be charged. Patients may choose to pay by check or money order, but this needs to be received one week prior to placing the order.
All Documents and Forms
- Authorization to Discard Semen Samples
- Authorization to Withdraw Semen
- Package Inserts
- Patient Account Application
- Physician / Clinic Account and Credit Application
- Semen Transfer Form