Consent Forms

When you come to our office you’ll be asked to sign consent forms for procedures. Here are some of examples of in vitro fertilization (IVF) forms. Read them to find out what to expect when you come for your visit.

Assisted Reproductive Technologies Consent (PDF, 15KB)
This consent form is for both partners to give voluntary consent to participate in IVF.

Conscious Sedation Consent (PDF, 88KB)
This consent form gives us permission to give the patient Fentayl and Versed through an IV to help her relax during the oocyte retrieval.

Cryopreservation of Embryos (PDF, 11KB)
This consent form to us permission to freeze or cryopreserve any remaining viable embryos not transferred to the uterus during an IVF cycle.

HIV Consent (PDF, 74KB)
HIV testing is part of the IVF screening process. Both partners must be tested.

Request and Authorization Form for Transvaginal Occyte Retrieval (PDF, 157KB)
This consent form gives us permission to perform the oocyte retrieval. It lists the risks associated with the procedure.

Request and Authorization for Micromanipulation of Oocytes In Vitro for Assisted Fertilization (PDF, 18KB)
Also called the intracytoplasmic sperm injection (ICSI) consent. This consent form is for individuals with male factor infertility. This procedure would be recommended to the patient based on partner's semen profile.