Are you doing PGT-M?

Seattle Sperm Bank is happy to contact your donor to request consent and coordinate a DNA sample for PGT-M set-up If the PGT-M lab you are working with is willing to utilize a sperm vial for PGT-M set-up, we can help coordinate shipping to the lab after the donor consents. Please note, the donor’s consent is required for their participation in PGT-M.

Details:

Cost: $300. The payment is due at the time the donor’s sample is collected.
Coordination: One of SSB’s genetic counselors will contact your PGT-M laboratory to gain necessary information regarding testing methodology and consent forms prior to consenting your donor.
Timing: After a donor consents and provides a DNA sample, it will be shipped within 1-2 days to directly to your PGT-M laboratory

Request A PGT-M Sample

"*" indicates required fields

1. Client Information

Name:*

First Last

Email:*

Phone Number:*

2. Donor Information

Donor ID:*

Have you already purchased sperm vials from the donor?*

It is strongly recommended that you purchase vials from this donor prior to ordering the supplemental testing.

Do you intend to use your purchased sperm vial for PGT-M set up?*

3. IVF Center Information (if applicable)

Name of IVF Center:

Phone Number:

Coordinator Name:

Email:

4. PGT Laboratory Provider Information

Name of PGT Laboratory:

Full Address:

Genetic Counselor Contact Name:

Email:

Phone Number:

5. Test Order Information

What condition do you wish for the PGT-M to screen for?

Condition Name:*

Gene:*

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