Prescreening Questions
  1. Are you 18 years or older?
  2. Are you having a single baby during this pregnancy (not twins, triplets, etc.)?
  3. In the past five years, can you agree that you have not engaged in high-risk behaviors such as illegal drug use or sex in exchange for money or drugs?


Can you answer “yes” to the questions above? If so, you may qualify to donate your baby's umbilical cord blood with HCBB.

If you have had any of the following within the past year: a tattoo, ear or skin piercing, non-sterile acupuncture, accidental needle stick, and/or a blood transfusion, please contact us at (808) 983-2265 or our toll free number at 1-855-583-3085, for further screening.



How Do I Become A Cord Blood Donor?

Review the prescreening questions listed above. If you answered "yes" to the above questions, you may choose one of the following options:

Option 1: Call the office and request for a packet.

Option 2
Download the forms (links located on the right hand side of this page) and mail them to:

Hawai'i Cord Blood Bank
1319 Punahou Street
Honolulu, Hawaii 96826

** You should receive notification of approval or deferral at least one month before your estimated due date. If you do not hear from us, please give us a call.

Option 3:
Download the forms and bring them with you to the hospital when you deliver.

Option 4
: When you check into the Labor & Delivery Unit at the hospital to have your baby, you may ask your nurse for an enrollment packet.


For more information about the Hawai'i Cord Blood Bank Program please call (808) 983-2265 (BANK) or our toll free number at 1-855-583-3085 or email This e-mail address is being protected from spambots. You need JavaScript enabled to view it

 
Download PDFs

Download Short Screening and Consent Form

You may download the forms above if you are delivering at the following hospitals:

-
Kapi'olani Medical Center for Women and Children

- Kaiser Permenente

- Queen's Medical Center

- Tripler Army Medical Center

- Castle Medical Center

- Maui Memorial Medical Center


If you have any questions regarding these forms, please call us at (808) 983-2265 or our toll free number at 1-855-583-3085.


Download Full Screening and Donor Demographic Information Form

This full screening and donor demographic information forms are only used if your baby's unit is selected for storing and future transplantation.

This form is normally completed with you over the phone after delivery.

However, if you wish to fill it out beforehand please download it from the link above, attach it in addition to the short screening and consent forms, and return it to us.

Please note that after submission, we may still have to contact you if there are any questions that need clarification.
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