The fee schedules, 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.
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.
Donor specimens that have been released to a physician
or designee and subsequently not used for purposes other than poor quality may be
returned only to be placed on hold. The specimens cannot be redistributed for use by
any other physician or designee. Therefore, you are still responsible for all original
charges. To return donor semen, complete the
Semen
Return Request Form.
|