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Haemopoietic Stem Cell Services
Forms and Leaflets
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Form 2A: Request to Collect PBSC, Lymphocytes or Whole Blood
Form 2C: Request for Directed Cord Blood Collection
Form 2E: Request to Test or Process Peripheral Blood Stem Cells, Bone Marrow or Lymphocytes
Form 2F: Request for Issue of Cryopreserved Products
Form 2J: Request to Collect, Process and Test PBSC, Lymphocytes or Whole Blood
Form 2G: Engraftment Report Form: 30 Days Post Stem Cell Transplantation
Form 2H: Clinical Outcome Report Form: 100 Days Post Donor Lymphocyte Infusion
Form 2Q: Clinical Outcome Report Form: 100 Days Post Stem Cell Transplantation
2B, Consent for the Testing, Storage and Discard of Stem Cells or Lymphocytes
2D, Consent for Directed Cord Blood Collection, Testing and Cryopreservation
2K, Guidance for Healthcare Professionals in Consenting for the Testing, Storage and Discard of Stem Cells or Lymphocytes
2L, Guidance fo Healthcare Professionals in Consenting for the Collection, Testing and Cryopreservation of Cord Blood for Directed Transplantation
Form 2M: Record of Transfer of Products Between Institutions
Form 2N: Stem Cell product Return Form
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