TDI-Forms
TDI-Forms
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 AgreementNew 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.
189 Townsend Street Suite 203, Birmingham, MI 48009
Phone - 248-644-5822
Fax - 248-644-1497
Email - iciinfo@sbcglobal.net
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