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14 October update on NHSBT's state of readiness for EU exit

Read our update

Stem cell forms

The majority of these forms are PDFs and require Adobe Acrobat Reader 

Collection, testing and storage

  • 5110: Therapeutic Apheresis Services request for collection of stem cells, lymphocytes or white cells (if you use Internet Explorer highlight the link, right click and select 'Save target as' to download)
  • 5071:  request to collect and process stem cell and immunotherapy products (if you use Internet Explorer highlight the link, right click and select 'Save target as' to download)
  • INF1243: referral of patients for stem cell collection and processing
  • 2B: consent for the testing, storage and discard of stem cells or lymphocytes
  • 2K: guidance for healthcare professionals in consenting for the testing, storage and discard of stem cells or lymphocytes 

 

Cord blood collection 

  • 2C: request for directed collection
  • 2D: consent for directed collection, testing and cryopreservation
  • 2L: guidance for healthcare professionals in consenting for the collection, testing and cryopreservation for directed transplantation
  • 2R: information for mothers regarding directed cord blood collection 

 

Issue of cryopreserved products

  • 2F: request for issue of products
  • 2G: engraftment report: 30 days post stem cell transplantation
  • 2H: clinical outcome report: 100 days post donor lymphocyte infusion

 

Transfer and returns 

  • 2M: record of transfer of products between institutions 
  • 2N: stem cell product return

 

Request for discard

  • 1960: request for authorisation to discard a HPC or other cellular therapy product (if you use Internet Explorer highlight the link, right click and select 'Save target as' to download)