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Informed consents

ART – what?

ART stands for Assisted Reproductive Treatment. This is the general term for the different fertility treatments: artificial insemination, IVF, IVF-ICSI, IVM, etc.

Informed consent for a frozen embryo transfer (download FRET)

Consent forms concerning ART treatment
Consent forms concerning donation and acceptance of gametes and/or embryos
Financial contract
Consent forms for ART with genetic diagnosis of the embryo
Agreement to the frozen storage (freezing) of sperm and eggs
Consent forms to bank reproductive tissue and conduct research with it Consent forms for certain procedures int the Operating theatre
Consent forms for scientific research with fresh sperm and eggs and/or embryos
Other

Consent forms concerning ART treatment 

  • Informed consent to medically assisted procreation
  • Agreement on the destiny of supernumerary embryo's
  • Amendment to the agreement on the destiny of supernumerary embryo's

Consent forms for donation and acceptance    

  • Informed consent for the anonymous donation of gametes [from donor's point of view]
  • Informed consent for the acceptance of anonymously donated sperm, eggs or embryos [from recipient(s)' point of view]  
  • Informed consent for known donation given by the recipient(s) and donor
  • Reservation for three years of donor sperm from the MLM bank of the CRG/UZ Brussel
  • Reservation for three years of donor sperm from the MLM bank of the CRG/UZ Brussel for the same parental project of two candidate mothers
  • Three year provision of donor sperm from an external tissue bank
  • Three year provision of donor sperm from an external tissue bank for the same parental project of two candidate mothers
  • Informed consent for ART with eggs donated within the parental project of of two candidate mothers
  • Informed consent for ART using gametes surrendered for surrogacy [consent of the recipient(s)]
  • Informed consent for the acceptance of gametes surrendered for surrogacy [consent of the surrogate mother]

Financial contract     

  • Financial agreement for patients without health insurance support

Consent forms for ART with genetic diagnosis of the embryo     

  • Informed consent for PGS (pre-implantation genetic screening)
  • Informed consent for PGD (pre-implantation genetic screening)
  • Agreement on the destiny of PGD embryos after HLA typification

Agreements on the frozen storage of gametes    

  • Agreement on the storage and the destiny of eggs
  • Agreement on the storage and the destiny of sperm
  • Agreement on the storage and the destiny of sperm in the context of a fertility preservation treatment
  • Amendment to the agreement on the storage and the destiny of eggs
  • Amendment to the agreement on the storage and the destiny of sperm
  • Amendment to the agemeent on the storage and the destiny of sperm in the context of a fertility preservation treatment

Consent forms for banking of and scientific research with reproductive tissue   

  • Informed consent to bank and perform research on (prepubertal) ovarian tissue
  • Informed consent to bank and perform research on ovarian tissue
  • Informed consent to bank and perform research on (prepubertal) testicular tissue in acquired stem cell loss
  • Informed consent to bank and perform research on (prepubertal) testicular tissue in congenital stem cell loss
  • Amendment to the informed consent to bank and perform research on (prepubertal) ovarian or testicular tissu

Consent forms for certain procedures at the Operating theatre 

  • Informed consent for FNA, TESE and for research into human spermatogenesis
  • Informed consent to perform electro ejaculation
  • Consent to perform sterilisation (man)

Consent forms for scientific research with fresh gametes and/or embryos   

  • Informed consent for scientific research with fresh gametes that cannot be used in your treatment
  • Informed consent for scientific research with fresh embryos that cannot be used in your treatment
  • Informed consent for scientific research with donor eggs

Other   

  • Informed consent regarding the use of the patient portal