TDI Client and Physician Forms
We only ship specimens directly to a physician's office. We do not ship specimens to a patient's home. Prior to ordering specimens for the first time, patients must sign a TDI Client Purchase Agreement (link below) and return the original signed document by mail prior to placing an order for donor specimens.
TDI Client Purchase Agreement
If we have not previously shipped specimens to your physician's office, we need to have the physician sign a Physician Purchase Agreement and complete a New TDI Account Information Sheet (links below).
Physician Purchase Agreement
New TDI Account Information Form
Note: The physician's documents must be returned via fax or mail prior to the date the specimens are to be shipped.
International Cryogenics, Inc.
32121 Woodward Ave. Suite 205, Royal Oak, MI 48073
Phone - 248-397-8449
Fax - 248-397-8392
Email - email@example.com
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