A
simple enrollment packet can be acquired from a Store-A-Tooth
participating dentist or downloaded,
printed, and taken to a Store-A-Tooth participating dentist. If
your dentist or oral surgeon is not a participating Store-A-Tooth
dentist, please call 1-877-867-5753 or
contact us
for information on acquiring a kit to bring to your
dentist.
The
enrollment package includes the following sections.
Informed Consent. The Informed Consent describes details regarding
the collection, receipt, processing, storage, maintenance, required
testing and use of dental pulp. It documents your understanding
and consent to the services outlined as well as the collection
of your dental pulp by your dentist.
Client
Service Agreement. The Client Service Agreement outlines the services
provided by our laboratory, NECC.
Payment Authorization. The Payment Authorization form provides
Store-A-Tooth with payment processing information as well as your
authorization.
Your
dentist’s administrator will ensure your enrollment package
is completed and provide you with a copy. After your or your child’s
teeth are extracted, the administrator will send the tooth and
enrollment package to Store-A-Tooth on your behalf.

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