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CT FERTILITY ASSOCIATES Informed Consent for Intended Parents Using an Egg Donor Patients Name: D.O.B. Partners Name: (if applicable) D.O.B. Please place your initials below to indicate which components
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How to fill out intended parent name:

01
First, locate the designated field or section on the form where the intended parent name is required.
02
Enter the intended parent's full legal name as it appears on their official identification documents. Make sure to spell the name correctly and use the appropriate capitalization.
03
If the form asks for additional information related to the intended parent's name, such as their date of birth or contact details, provide the requested information accurately.
04
Double-check the form to ensure that all the required fields related to the intended parent's name have been completed.
05
Once you have filled out the intended parent name section, review the entire form for any errors or omissions before submitting it.

Who needs intended parent name:

01
Individuals or couples applying for adoption may need to provide the intended parent name as part of the application process.
02
Surrogacy agencies and programs may require intended parents to provide their names for legal documentation and to ensure proper identification throughout the surrogacy journey.
03
Fertility clinics and reproductive medical professionals may request intended parent names as part of the medical and legal documentation required for the fertility treatments or procedures they provide.
04
Legal professionals handling contracts or agreements related to assisted reproduction, such as gestational surrogacy or egg donation, may require intended parent names to ensure proper identification and legal representation.
05
Insurance companies or healthcare providers involved in assisted reproduction may request intended parent names for insurance coverage and billing purposes.
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