Agreement to Ship Cryopreserved Embryo(s) Sample Contracts

FERTILITY CENTER OF MARYLAND, P.A.
Agreement to Ship Cryopreserved Embryo(s) • May 2nd, 2022

had embryo(s) cryopreserved, which are currently stored at the Fertility Center of Maryland, P.A. (FCM). We now desire to ship the embryo(s) to (CHECK ONE):

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AGREEMENT TO SHIP CRYOPRESERVED EMBRYO(S) TO FAIRFAX CRYOBANK
Agreement to Ship Cryopreserved Embryo(s) • January 12th, 2022

had embryo(s) cryopreserved, which are currently stored at the Fertility Center of Maryland, P.A. (FCM). We now desire to ship the embryo(s) to Fairfax Cryobank in Fairfax, VA for continued storage.

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