These forms are for the use of patients at your clinic and record their consent to the various aspects of fertility treatment. The relevant form should be printed out, completed by the patient and a photocopy of the form given to the patient.

Guide to consent forms and translations

• Guide to consent forms
  - Updated 1 October 2013 (pdf 61 kb)

It may be possible to upon patient request to receive a translated copy of a consent form. Please contact the HFEA for more information.

• HFEA medical practitioner's statement (pdf 24Kb)

Treatment and storage 

• MT - Your consent to the use of your sperm and embryos for your partner's treatment and the storage of your embryos
  - Updated 6 April 2010 (pdf 841 Kb)
• WT - Your consent to the use of your eggs and embryos for your treatment and the storage of your embryos 
  - Updated 12 May 2010 (pdf 529 Kb) *
• MGI - Your consent to the use of your sperm in artificial insemination 
  - Updated 6 April 2010 (pdf 833 Kb)
• WGI - Your consent to the use of your eggs in GIFT 
  - Updated 6 April 2010 (792 Kb)
• GS - your consent to the storage of your eggs or sperm
  - Updated 6 April 2010  (pdf 793 Kb)
• LGS - Consent to extending the storage of your eggs or sperm 
  - Updated 26 September 2009 (pdf 215 Kb)
• ES - Consent to extending the storage of your embryos 
  - Updated 26 September 2009 (pdf 221 Kb) 
  
  *A typographical error in the title has been corrected. This error does not affect the consents that were taken using version 2 of the form. Clinics may therefore, if they wish, continue to use copies of version 2 that have been printed ready for use.

Donation

• MD - Your consent to the use and storage of your donated sperm  
  - Updated 6 April 2010 (pdf 841 Kb)
• WD - Your consent to the use and storage of your donated eggs 
  - Updated 6 April 2010 (828 Kb)
• ED - Your consent to the use of your donated embryos 
  - Updated 6 April 2010 (pdf 825 Kb) 

 Surrogacy

• MSG - Your consent to the use and storage of your sperm or embryos for surrogacy 
  - Updated 1 October 2013 (pdf 361 Kb)
• WSG - Your consent to the use and storage of your eggs or embryos for surrogacy 
  - Updated 1 October 2013 (360 Kb)
• SPP - Your consent to being the legal parent in surrogacy (pdf 346Kb)
• SWP -  Your consent (as a surrogate) nominating an intended parent to be the legal parent (pdf 299Kb)
• SWC - Surrogacy - Withdrawing your consent 
  (379 Kb)

Withdrawal

• WC - Withdrawing your consent (revised) 
  - Updated 1 October 2013 (497 Kb)
• LC - Stating your spouse or civil partner’s lack of consent 
  (481 Kb)

Parenthood

• PP - Consent to being the legal parent (pdf 146 Kb)
• WP - Consent to your partner being the legal parent (pdf 91 Kb)

Disclosure of information

• Consent to Disclosure (CD) form – full version (pdf 385Kb)
  - Updated 1 August 2012
• Consent to Disclosure (CD) form - general purposes version (pdf - 400 Kb) - Updated 28 February 2011 
• Consent to Disclosure (CD) form – research only version (pdf 348Kb)
  - Updated 1 August 2012 
• Guidance supplementary to Chair's letter CH(10)05 and amended Directions 0005 and 0007 (pdf 144 Kb)

See also: Chair's letter CH(10)05