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This document serves as a consent form for patients to indicate their wishes regarding the disposal, donation, or transfer of cryopreserved embryos stored at the Wisconsin Fertility Institute.

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How to fill out consent to discontinue storage

How to fill out Consent to Discontinue Storage of Cryopreserved Human Embryos

01

Obtain the Consent to Discontinue Storage of Cryopreserved Human Embryos form from your fertility clinic or medical provider.

02

Read the form thoroughly to understand its implications and ensure you are comfortable with the decision.

03

Fill in your personal details, including your name, contact information, and any required identification numbers.

04

Specify the number of embryos you wish to discontinue storage for, following the instructions provided in the form.

05

Review any additional statements or agreements concerning the discontinuation of storage.

06

Sign and date the form in the designated area to provide your consent.

07

Submit the completed form to your fertility clinic or medical provider, and ensure you keep a copy for your records.

Who needs Consent to Discontinue Storage of Cryopreserved Human Embryos?

01

Individuals or couples who have previously cryopreserved human embryos and wish to discontinue their storage.

02

Patients seeking to make informed decisions about the future of their stored embryos.

03

Those who are considering the ethical and legal implications of their stored embryos.

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What is Consent to Discontinue Storage of Cryopreserved Human Embryos?

Consent to Discontinue Storage of Cryopreserved Human Embryos is a legal document that allows individuals or couples to formally terminate the storage of their frozen embryos, indicating that they no longer wish to maintain them in a cryogenic facility.

Who is required to file Consent to Discontinue Storage of Cryopreserved Human Embryos?

Individuals or couples who have previously cryopreserved embryos and wish to discontinue their storage are required to file this consent form.

How to fill out Consent to Discontinue Storage of Cryopreserved Human Embryos?

To fill out the consent form, individuals must provide necessary details such as personal identifying information, the number of embryos involved, their decision regarding the disposal or donation of the embryos, and any required signatures.

What is the purpose of Consent to Discontinue Storage of Cryopreserved Human Embryos?

The purpose of this consent is to ensure that individuals make an informed decision regarding the future of their cryopreserved embryos, including co-authorship and sufficient legal documentation for the discontinuation of storage.

What information must be reported on Consent to Discontinue Storage of Cryopreserved Human Embryos?

The form must report information such as the names of the individuals involved, the specific embryos being discontinued, the reason for discontinuation, and the intended future treatment of the embryos, whether it be disposal or donation.

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