Fertility Consent Forms

At the Mass General Fertility Center, each patient is an important member of her own care team. To support you, we offer education resources to help you navigate fertility treatment.

Clomid & Injectable Follicle Stimulating Hormone (FSH)

• Authorization for clomiphene therapy (PDF)
• Authorization for gonadotrophin therapy (PDF)

In-vitro Fertilization (IVF)

• In-vitro fertilization (IVF) treatment (PDF)
• Embryo freezing and frozen embryo disposition (PDF)
• Intracytoplasmic sperm injection (ICSI) (PDF)
• Assisted hatching (PDF)

Sperm

• Insemination with anonymous donor sperm (PDF)
• Insemination with known (intimate) donor sperm (PDF)
• Insemination with known (non-intimate) donor sperm (PDF)
• Freezing sperm (PDF)

Preimplantation Genetic Diagnosis (PGD)

Egg Donor & Gestational Carrier

• Receipt of human eggs for in-vitro fertilization (IVF) anonymous donor (PDF)
• Transfer of human embryos for in-vitro fertilization (IVF) gestational carrier (PDF)
• Donation of human eggs for in-vitro fertilization (IVF) anonymous donor (PDF)
• Donation of human eggs for in-vitro fertilization (IVF) known donor (PDF)

Frozen Embryo Transfer (FET)

Final Disposition of Gametes

• Disposition cryopreserved embryos (PDF)
• Disposition cryopreserved sperm (PDF)
• Disposition cryopreserved oocytes (PDF)

Thawing

• Consent to thaw sperm (PDF)
• Embryo thaw and biopsy (PDF)
• Consent to thaw oocytes (PDF)

Our Success Rates

We provide expert care using innovative technologies targeted to your needs and strive every day to achieve the highest and safest pregnancy rates.

Department of Obstetrics & Gynecology

The Department of Obstetrics and Gynecology at Mass General has advanced the science and the quality of care for patients since 1891.

Related News and Articles

• Patient Education
• Jan | 11 | 2021

Financing Your Fertility Services

“How much does IVF cost?” is a common question. Read on to better understand IVF costs at Mass General and insurance coverage for fertility services.

• Patient Education
• Apr | 22 | 2021

Fertility Treatment: What to Expect

Infertility is complicated and influenced by many factors, so diagnosing and treating it can be a complex process.

Fertility Care at Mass General

We provide state-of-the-art fertility care that is individualized for your unique needs.

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