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Get the free Consent to Store Donor Sperm - Kentucky Fertility Institute

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4612 Chamberlain Lane, Suite 200 Louisville, KY 40241 T (502) 9964480 F (502) 9964481KENTUCKY FERTILITY LABORATORY (NFL) SPERM CRYOPRESERVATION INFORMED CONSENT AND AGREEMENTPatient: Printed Name
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How to fill out consent to store donor

01
To fill out the consent to store donor, follow these steps:
02
Start by writing the name of the donor at the top of the form.
03
Provide the contact information of the donor, including phone number and email address.
04
Specify the purpose of storing the donor's information.
05
Clearly state the duration for which the consent is valid.
06
Include a clause regarding the donor's rights and options to access or delete their stored information.
07
Add any additional terms or conditions, if applicable.
08
Provide spaces for the donor's signature and date.
09
Make sure to keep a copy of the filled-out consent form for record keeping purposes.

Who needs consent to store donor?

01
Anyone or any organization that intends to store a donor's information needs consent to do so.
02
This can include nonprofit organizations, blood banks, research institutions, medical facilities, etc.
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Consent to store donor is a legal document that allows an organization to retain and use the donor's personal information for future fundraising purposes.
Any organization or charity that collects and stores donor information is required to file a consent to store donor.
Consent to store donor can be filled out by providing the donor's name, contact information, donation history, and specifying the purpose for storing their information.
The purpose of consent to store donor is to ensure that organizations have permission to retain and utilize donor information responsibly.
The information reported on consent to store donor typically includes donor name, contact details, donation amounts, and any restrictions on the use of their information.
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