Secure Payments & Billing Info - Abu Dhabi Biobank

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1

Personal Info
2

Review Plan
3

Payment

Client Name (Mother) *

Primary Phone *

Primary Email *

Mother's Date of Birth *

Emirates ID No (Mother) *

Hospital MRN no. (Mother)

EDD (Expected Date of Delivery) *

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Inclusions:
- Secure preservation of cord blood for 30 years
- Bedside sample pick up
- Maternal blood testing
- Human Leukocyte Antigen Typing
  
  Human Leukocyte Antigen Typing
  
  is a test to determine if a Specimen is a suitable match for a potential recipient
- Renewal rebate @10%
  
  Renewal rebate @10%
  
  Upon completion of the initial 30-year storage period, you will be entitled to a rebate on the applicable fees for continued storage of the specimen

Add ons:

Sub-Total

AED 7,500

Total Add Ons

AED 0

Discount

AED 0

Total

AED 7,500

Payment Method(s)

Debit/Credit

Got a Question?

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