Stem Cell Storage Identity Verification Form
About this free form template

Secure Your Family's Future with Stem Cell Storage

Stem cell banking is an important decision that requires careful documentation and identity verification. This stem cell storage identity verification form streamlines the enrollment process for cord blood banks, stem cell storage facilities, and healthcare providers offering cellular preservation services.

Why Choose Paperform for Stem Cell Storage Enrollment?

Managing stem cell banking applications requires capturing sensitive medical information, verifying identity documents, obtaining informed consent, and processing complex storage agreements—all while maintaining the highest security standards. Paperform provides a professional, SOC 2 Type II compliant platform that handles these requirements seamlessly.

With this template, stem cell storage facilities can:

  • Verify patient identity with secure document uploads and detailed personal information collection
  • Collect medical history relevant to stem cell collection eligibility and processing
  • Obtain informed consent for collection procedures, storage, and future use
  • Process facility selections with conditional logic showing relevant storage options
  • Verify insurance coverage and handle payment arrangements for storage fees
  • Generate storage agreements that can be sent for eSignature via Papersign

Streamline Operations with Automation

Once a family submits their verification form, you can use Stepper to automatically:

  • Route applications to medical review teams based on collection type
  • Send welcome packets and pre-collection instructions
  • Update your CRM with family information and storage preferences
  • Schedule collection appointments with medical staff
  • Trigger payment processing and insurance verification workflows
  • Generate and send storage agreements for electronic signature

Built for Healthcare Professionals

This template is designed for cord blood banks, stem cell storage facilities, fertility clinics offering stem cell preservation, and healthcare providers managing cellular therapy programs. The form includes:

  • Identity verification with document upload capabilities
  • Medical history and eligibility screening questions
  • Collection method selection (cord blood, cord tissue, dental pulp, etc.)
  • Facility and storage plan selection with pricing calculations
  • Insurance coverage verification and payment processing
  • Consent forms and storage agreement acknowledgments

While Paperform is not HIPAA compliant, it provides SOC 2 Type II certified security suitable for initial enrollment and identity verification processes. Sensitive medical records can be securely collected through file uploads with controlled access permissions.

Professional, On-Brand Experience

Unlike generic survey tools, Paperform lets you create an enrollment experience that reflects the professionalism and care your facility provides. Customize fonts, colors, and layouts to match your brand, and guide families through the verification process with conditional logic that shows only relevant questions based on their specific situation.

Start enrolling families faster with secure identity verification and streamlined documentation collection.

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deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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