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Investor Relations Download Info Pack

Web Enrolment

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Biological Mother Details


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Biological Father Details

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Emergency Contact Details


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Refer-A-Friend's Details


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Grandparents' Details


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Health History Questionnaire



All information herein will be kept strictly confidential, save for declaration required by law and/or for transplant purposes. We request your kind understanding that sensitive questions are asked to help us make the cord blood collection process and subsequent use safe.


All "Yes" answers require an explanation. Please use the space allocated at the end of this questionnaire.

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12. In the past 5 years, have you had sexual contact

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Travel History
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Genetic/ Family History
17. Has your baby’s biological father, his family members or any of your family members (biological parents and siblings) had:
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*The informed consent below applies to all Cordlife’s banking services you have enrolled for this pregnancy. The maternal blood test results and Medical Director’s decision may be required to determine eligibility of storage.

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I understand that appropriate confidentiality will be maintained for all patient records concerning the Service, but that the Singapore Ministry of Health, or other government agencies may inspect records in accordance with applicable laws or regulations. I therefore certify that I have answered the above questions truthfully and to the best of my knowledge.
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[Announcement]

Cordlife’s consultation booths located at Mount Elizabeth Novena Hospital, Parkway East Hospital and Thomson Diagnostic Ultrasound Centre will reopen with Safe Management Measures in place as we transition into Phase 1 of Post-Circuit Breaker.

Opening Hours:
Mon – Fri: 10am to 4pm
Sat: 9:30 am to 1 pm

Our sales consultants will still remain available through web consultations should you have any questions about our services/and or are interested to store your baby’s umbilical cord stem cells with us.

To find out more about cord blood banking, you may choose to download our information pack or make an appointment with our friendly consultants.

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Want to discover the power of umbilical cord stem cells?

Call us at 6238 0808 or make an appointment for a non-obligatory consultation!
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