Get the free Sperm Storage Request - Nottingham University Hospitals

Sperm Storage Request Referring Clinician/Department The Anthology Laboratory Fertility Unit Floor B, East Block Nottingham University Hospital (QC) Nottingham NG7 2UH Patient: G.P. Practice LABEL

How to fill out sperm storage request

How to fill out a sperm storage request:

1. Start by gathering all the necessary documents and forms required for the sperm storage request. This usually includes a request form provided by the sperm bank or fertility clinic.
2. Fill in your personal information accurately, including your full name, date of birth, contact details, and address. Make sure to provide any additional information requested such as your partner's details if applicable.
3. Specify the reason for the request. Common reasons for sperm storage include fertility preservation due to medical treatments like chemotherapy, vasectomy reversal, or for future assisted reproductive technologies.
4. Indicate the period of storage required. The length of storage can vary, ranging from a few months to several years. Decide how long you would like to store your sperm, keeping in mind any personal circumstances or future family planning goals.
5. Provide any special instructions or considerations. If you have any specific requirements or concerns, such as shipping arrangements or additional services like genetic testing, include them in the appropriate section.
6. Carefully review all the information you have provided to ensure its accuracy and completeness. Any errors or omissions could lead to delays or confusion in the storage process.
7. Finally, sign and date the form, indicating your consent for the storage and retrieval of your sperm.

Who needs a sperm storage request:

1. Men undergoing medical treatments: Individuals who are about to undergo treatments that may compromise their fertility, such as chemotherapy or radiation therapy, may opt for sperm storage to preserve their chances of having biological children in the future.
2. Those considering vasectomy: Men who are planning to undergo a vasectomy procedure may choose sperm storage as a precautionary measure before the sterilization procedure.
3. Couples undergoing assisted reproductive technologies (ART): In some cases, couples undergoing fertility treatments like in vitro fertilization (IVF) or intrauterine insemination (IUI) may require the use of stored sperm for the procedures.
4. Individuals with fertility concerns: Some individuals may have concerns about potential fertility issues in the future or may have a desire to have biological children but are not actively trying at the moment. They may consider sperm storage as a backup plan.

Remember, it is essential to consult with a healthcare professional or fertility specialist who will guide you through the process of filling out a sperm storage request and ensure all legal and ethical considerations are met.

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