Contacting your donor

If you want to connect with your donor, here are some rules to know:

• If you had a cord blood transplant, you won’t be able to have any contact with the person who donated the cord blood.
• No communication can happen before the transplant day.
• NMDP Registry rules are based on U.S. laws. If your donor is from a registry in a different country, their registry will have their own laws and rules. These rules are there to protect you and your donor’s privacy.
• During the 1st year after transplant, most registries will let you and your donor send emails, cards and letters - as long as you keep them anonymous. Anonymous means that you can’t give away any personal details, including names and information regarding where you live (see additional rules below for the U.S.). But communication instructions will depend on the rules of your donor’s country and registry. Ask your transplant coordinator or team what the rules are for your donor. This is called anonymous communication.
• After a waiting period, some registries will let you and your donor share your name and contact information – but only if you both agree. This is called direct contact or direct communication.
• In the U.S., you have to wait 1-year after your transplant before you can ask for direct contact, but in many other countries the waiting period is longer. If you live in the U.S., but your donor is in a country where the wait is longer, you will have to wait until their waiting period is over.
• Some countries have laws that say donors and patients can’t ever have direct contact. If your donor is from one of these countries, you will never know their name or other personal details about them. But you might still be able to send anonymous emails, cards, or letters.

This is a private way to connect with your donor, even if you don’t want to have direct contact. If you might want to have direct contact someday, it’s a good idea to start with anonymous communication. That way you can get to know each other, while still keeping your privacy.

In most cases, you and your donor can have anonymous contact starting right after your transplant. This includes communicating through emails, cards, or letters without revealing any information about yourself that could identify who you are, like names and locations. There is a list below of what to avoid. Remember, registries in other countries may have different laws. Your transplant center will tell you what is allowed if your donor is from another country.

Many patients hope to connect with their donor after transplant. In many cases, this happens. But, there are privacy rules that limit when and how you can connect after transplant. Depending on where you and your donor live, you may never be able to connect. These rules sometimes feel frustrating, but they are in place to protect you and your donor.

If your donor lives in the U.S. you can send:

• Emails, cards or letters.
• Keep in mind, you don't have to write a lot. Often donors appreciate short, simple notes. A note of thanks or appreciation for their donation can be very meaningful. 

If your donor lives in the U.S. emails, cards, and letters cannot include:

Tell your transplant coordinator or transplant team that you want to send an anonymous letter to your donor. They will help you. Once you give your email, card, or letter to your transplant team, it's reviewed several times to make sure all rules are followed. Here are the steps:

1. Give your letter or card to your transplant center coordinator.
2. Transplant center will review. If it's OK, they'll send it to NMDP.
3. NMDP will review it. If it's OK, we'll send it to the donor center. 
4. Donor Center will review it. It it's okay, they'll send it to your donor. 

All of these reviews and mailings can take some time, so your donor will not get what you sent for several weeks, possibly - or even longer, especially if you are in different countries.

Tell your transplant coordinator or transplant team that you want to share contact information with your donor directly. They will let you know if it’s possible and make the request for you. In many cases, this is possible after a waiting at least 1 year after transplant. But each case is unique. You might have to wait longer, or you might not be able to directly contact your donor at all. They will be able to tell you what the rules are for your donor’s country and registry. The confidentiality rules protect your privacy and your donor’s privacy.