PacifiCord Enrollment Form
For something as significant and life-changing as cord blood collection, we've made enrolling surprisingly simple.
The Steps are:
1. Agree to our Service Agreement
2. Provide your contact information
3. Complete a Health Questionnaire
4. Agree to Enroll
5. And finally, select your Payment Options and
6. Confirm.
That's it! After you enroll, we will send you a PacifiCord Collection Kit that has everything your care provider will need to collect your baby's cord blood on the day of your delivery.
Get Started for Free
