Transplant Centre

Please complete electronically fillable forms or print clearly in block letters if completing forms manually. Correct Canadian Blood Services Stem Cell Registry search identification numbers (ID#) and International Registry ID#'s must be indicated for both patient and donor/cord(s) where applicable.

Please note for cord procurement requests, the Request for Shipment of Cord Blood Unit form must be completed. Canadian Blood Services Stem Cell Registry will accept donor work-request forms from International Registries, as long as the following information is provided:

• Prescription for Marrow, PBSC or Leukocytes
• Patient Status Report
• Verification of Patient and Donor Typing

If you require a Canadian Blood Services Stem Cell Registry or Canadian Blood Services' Cord Blood Bank form/document in an accessible format, please email cbs.stemcellregistry@blood.ca.