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

Costed treatment plan templates

Centres should give patients personalised costed treatment plans detailing the main elements of the treatment proposed (including investigations and tests), the cost of that treatment and any possible changes to the plan, including their cost implications.

The British Fertility Society provide costed treatment plan templates, which are available in the 'members' area of their website.

...visit the BFS website

The HFEA and data collection

The HFEA has policies in place that outline how we collect and store data received from clinics.

Read our policies on data collection:

 

HFEA e-updates

Get monthly updates on HFEA news, policy and guidance sent to your inbox.

Sign up for our e-update today.

 

...subscribe to e-updates

Submitting forms via EDI

Get answers to the most frequently asked questions on the forms clinics are able to submit via EDI.

 

...FAQs about EDI forms