Cell Banking Agreement Renewal By Check

Please include the following form with your check. PDF IconPrint Form

Banking Stem Cells can provide treatment options including:

  • Current uses of stem cells include arthritis, and soft tissue injuries (tendon and ligament).
  • Future uses of stem cells may include treatment of kidney, inflammatory bowel disease, gingivostomatitis, and immune mediated diseases.

One fat collection can provide a lifetime of stem cell therapy by utilizing stored doses and/or cell culturing. Culturing of stem cells and processing of stored doses will incur costs. Consult your veterinarian for estimates of potential future costs for treatment.

Cell Banking Acceptance*

Contact Information (please complete so that we have current information)

Terms and Conditions

This agreement sets forth the terms and conditions of the storage by VetStem, a California corporation with its principal place of business located at 14261 Danielson Street, Poway, CA, 92064 ("VetStem") of regenerative cells (the "Cells") deposited by the person or entity whose name appears on the signature page hereto (the "Owner").

    1. Fee Date: The anniversary of the deposit of cells into VetStem's Cell Banking system. If additional cells are produced and banked at a later date this date will be the new Fee Date.
    2. Banking Fee: VetStem will charge Owner a non-refundable (except as provided below) fee for annual storage payable in advance. The Banking Fee must be paid by credit card or check and is due and payable on the anniversary of each Fee Date. Prior to each Fee Date, VetStem will provide Owner with a written notification (either email or USPS as provided by the Owner) of the Banking Fee amount and due date. Owner will receive notification of any adjustment to the Banking Fee prior to the next Fee Date.
    3. Banked Dose and Culture Order Fee: If the Owner's veterinarian requests culturing of cells or delivery of Banked Doses then the Owner's veterinarian will be charged a fee for services and shipping. Please consult your veterinarian for the cost.
    1. Change in Ownership: In the event an animal changes owners then the Owner is to notify VetStem in writing using the Transfer of Ownership Form.
    2. Assignment of Contract: The Owner agrees that VetStem may subcontract its Cell Banking services to third parties or assign its rights and obligations under this Agreement to a third party. If VetStem assigns its rights and obligations under this Agreement, then VetStem shall promptly notify the Owner in writing of such assignment.
    1. Termination by Owner: This Agreement may be terminated by the Owner's Veterinarian by removing the last banked Dose(s). No refund will be provided to Owner for the remaining portion of the paid banking period.
    2. Automatic Termination: This Agreement will automatically terminate by Owner’s Veterinarian removing the last banked Dose(s). No refund will be provided to Owner for the remaining portion of the paid banking period.
    3. Termination for Breach: In the event Owner fails to pay Banking Fee within thirty (30) days after notification of due date or if Owner cannot be located by reasonable means, VetStem may, in its sole discretion, terminate this Agreement without further notice and may treat all Cells as abandoned property, and may discard or otherwise dispose of Cells at its sole discretion.
    4. Termination by VetStem: VetStem may terminate this Agreement at any time by giving Owner three months written notice and shall refund to Owner the Banking Fee paid for the remaining portion of the banking period.
    5. Loss of Cells: VetStem warrants that it will use commercially reasonable efforts to provide to Owner the Cell Banking services described herein. VetStem's liability is limited to processing or culture services to replace cells or refund of the remaining portion of the paid banking period. VetStem is not responsible for veterinary fees related to collection of tissue for processing of replacement cells.
    1. Owner agrees to indemnify, defend and hold VetStem, its shareholders, directors, officers, employees, agents and other representatives harmless from and against any and all claims, suits or demands for liability, damages, losses, costs and expenses (including the reasonable costs and expenses of attorneys and other professionals) arising out of, or resulting from, the provision of services under this Agreement, except to the extent such liability, damages, loss, cost or expense is caused by the gross negligent or willful act or omission of VetStem or its employees or agents. The Owner acknowledges that VetStem is not responsible for the actions of third parties including the Owner's veterinarian, the veterinary hospital, veterinary hospital staff, and third party transporters of the Cells.
    1. This Agreement, the Attachments hereto, and the Owner Consent executed in connection herewith, constitute the entire agreement between the Owner and VetStem in relation to the subject matter hereof to the exclusion of any other agreement, whether oral or written, between the parties. Any modification or amendment hereto must be in writing and signed by both parties. In case of a conflict between this Agreement and any Attachment or the Owner Consent, the terms and conditions of this Agreement control. This Agreement shall be governed by and interpreted and construed in accordance with the laws of the State of California, without regard to the conflict of laws principles contained therein. If any provision of this Agreement is held to be void or unenforceable by a court of competent jurisdiction because it is invalid or in conflict with any law of relevant jurisdiction, such provision shall be severed from this Agreement, which shall otherwise remain in full force and effect.