Patient Treatment Consent Forms

View all available consent forms below, or find & complete the appropriate consent forms using our selection tool

Consent Forms Selection Tool


View all consent forms

Please print and review the relevant treatment consent forms before your first appointment. If you have any questions about your forms, please contact us at (401) 441-4336.

Por favor imprima y lea los formularios de consentimiento para tratamiento pertinentes antes de su primera cita. Si tiene preguntas sobre los formularios, puede llamarnos al (401) 441-4336.


Forms in English

Formularios en Español

Consent for the Use of Anonymous Donor Sperm

Authorization for the Use of Frozen Sperm - Partner

Consent for Therapeutic Use of Directed Donor Sperm (Donor)*

Consent for Therapeutic Use of Directed Donor Sperm (Recipient)*

Consentimiento para del Uso de Esperma de Donantes Anónimos (ADS)

Autorización para el Uso de Esperma Congelado - Pareja

Consent for Therapeutic Use of Directed Donor Sperm (Donor)*

Consentimiento para el Uso Terapeutico de Esperma de Donantes Directos- Uso Posterior*


*Some forms are not yet available for our website. Please speak with a Fertility Center staff member to get a copy during your next appointment.

*Algunos formularios todavía no están disponibles en nuestro sitio web. Sírvase hablar con un miembro del personal del Centro de Fertilidad (Fertility Center) para obtener esos formularios en su próxima cita.


Not sure which forms to complete? Call us at (401) 441-5336 or try our form selection tool.
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