Forms to use in your clinic
New forms from 1 October 2009
Including:
- Embryo and Gamete Movement forms
- Donor Sperm Procurement form
- New Patient and Partner Registration forms
Treatment & storage licence application forms
Including:
- Initial licence enquiry form
- PR Entry Programme (PREP)
- Licence variation forms
- Renewal of licence forms
- PGD/PGS application forms
Research licence forms
Including:
- Research licence application form
- PR Entry Programme (PREP)
- Research progress report form
- Renewal of research application form
- Final research report
Import/export forms
Including:
- Import and export of gametes and embryo forms
Intention to treat and commencement of treatment forms
Including:
- Intention to treat (ITT) form
- IVF treatment and embryo creation/use form
- Donor insemination (DI) treatment form
- Guidance on how to complete these forms
Consent forms
Including:
- Forms for the use patients at your clinic to record their consent to fertility treatment.
- Guidance on how to complete the consent forms
Forms for patients and donors
Including:
- Patient, partner and donor registration forms
- Donor re-registration form
- Patient history (Welfare of the child) form
- Confidential declaration
Incident reporting form
Including:
- Form for reporting incidents of ‘near misses’ at your clinic
- Information on how the HFEA responds to incident reporting
Outcome forms
Including:
- Pregnancy following treatment form
- Early outcome form
Annual returns
Including:
- HFEA annual data collection form for GIFT using partner sperm
- HFEA annual data collection form for IUI using partner sperm
Page last updated: 04 March 2009


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