About CHR
CHR believes a full disclosure policy is important in the physician-patient relationship. In order to better inform you, we have provided the following consent forms online. In simple terms, a consent is your approval of a specific procedure before it is performed. Consents generally describe the proposed procedure and the identified risks associated with that procedure. By signing the consent, you acknowledge that the various risks associated with the procedure have been satisfactorily explained and you approve of the performing of the procedure on you and/or your partner.
Assisted Reproductive Technologies
General Fertility
- Informed Consent for Participation in Research
- Ovarian Cyst Aspiration
- Use of Fertility Enhancing Medications
- Washed Intrauterine Insemination
- Hysterosalpingogram
- Hysterosonogram
- Informed Consent to Diagnostic or Therapeutic Procedure - General
- Informed Consent to Diagnostic or Therapeutic Procedure - Testicular Biopsy
- Informed Consent to Diagnostic or Therapeutic Procedure - Retrograde Ejaculation Sperm Collection
- Informed Consent to Diagnostic or Therapeutic Procedure - Percutagneous Epididymal Sperm Aspiration (PESA) and/or Testicular Sperm Extraction (TESE)
Special Programs
- Donor Egg Program Agreement
- Egg Donor Consent
- Consent to Relinquish Parental Rights of All Existing Embryos to a Designated Donor Recipient
- Consent to Relinquish Parental Rights of All Existing Embryos
- Recipient Consent to the Use of Donated Embryos Through Embryo Adoption
- Designated Recipient Consent to the Use of Donated Embryos Through Open Embryo Adoption
- Shared Risk (Refund) Program
- Shared Risk (Refund) Program Grid
- IV-Ig Therapy
- Research Participant Consent
Last Updated: November 28, 2011
