Eligibility Criteria

Thank you for coming forward to donate your baby's cord blood. Your donation can save lives and give hope to patients with blood cancers and disorders.

SCBB collects cord blood in accordance with international standards, ensuring that collected cord blood is of the highest quality. By answering the following questions, you will provide relevant medical information about your health, your baby’s health and the health of other family members. This will help determine if the basic requirement for cord blood donation is met.

Please answer the questions below by checking either the “Yes” or “No” box for each question. This form will take you approximately 5-10 minutes to complete.

About You

About Your Pregnancy

Tattoos and Body Piercings

Blood Diseases and Disorders

​● Diamond-Blackfan Syndrome ​​● Chronic Granulomatoous Disease ​​● Elliptocytosis​
​​​​​● Hereditary Thrombocytopenia ​​● Leukocyte Adhesion Deficiency (LAD) ​​● Thrombocytopenia with absent radii (TAR)​
​​​● Schwachman-Diamond Syndrome ​​● Amegakaryocytic Thrombocytopenia ​​​● Ataxia-Telangiectasia
​​​​● Glanzmann Thrombasthenia ​​Platelet Storage Pool Disease ​​● Fanconi Anemia
● Kostmann Syndrome ​​● Spherocytosis  
                          
● Adenosine Deaminase (ADA)● Purine Nucleoside Phosphorylase (PNP) Deficiency
● DiGeorge Syndrome● Combined Immunodeficiency Syndrome (CID)
● Hypoglobulinemia● Common Variable Immunodeficiency Disease (CVID)
● Nezeloff Syndrome● Hereditary Hemophagocytic Lymphohistiocytosis (HLH) including FEL
● Severe Combined Immunodeficiency
 

Infectious / Sexually Transmitted Diseases

Creutfeldt - Jakob Disease

Cancer

Malaria

Organ or tissue transplant

When you meet our Donor Coordinators, you will be required to sign an Informed Consent Form. Thereafter, the completion of a detailed medical questionnaire would be required. These questions include lifestyle, sexual habits, medical history of your family and your spouse’s family.

Support SCBB’s mission to save lives!

Find out if you can donate
×