HFEA Registration Form
From MedITEX - Wiki
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| − | <p>Under construction.</p> | + | <p style="text-align: justify;"> </p> |
| − | <p> </p> | + | <p style="text-align: justify;">Under construction.</p> |
| − | <p>This form should include a record for each person involved in the treatment. The Registration number is assigned by the centre and must be unique within the centre. All people need to supply core information and the remaining details will depend on the registration type chosen.</p> | + | <p style="text-align: justify;"> </p> |
| − | <p> </p> | + | <p style="text-align: justify;">This form should include a record for each person involved in the treatment. The Registration number is assigned by the centre and must be unique within the centre. All people need to supply core information and the remaining details will depend on the registration type chosen.</p> |
| + | <p style="text-align: justify;"> </p> | ||
<p style="text-align: center;"><strong>IMAGE</strong></p> | <p style="text-align: center;"><strong>IMAGE</strong></p> | ||
| − | <p> </p> | + | <p style="text-align: justify;"> </p> |
| − | <h2>When to submit</h2> | + | <h2 style="text-align: justify;">When to submit</h2> |
| − | <p>Registration details should be submitted within 10 days of the centre agreeing treatment and before any treatment or use of gametes commence. Intended parents and donors should be registered before use of their gametes.</p> | + | <p style="text-align: justify;">Registration details should be submitted within 10 days of the centre agreeing treatment and before any treatment or use of gametes commence. Intended parents and donors should be registered before use of their gametes.</p> |
| − | <p> </p> | + | <p style="text-align: justify;"> </p> |
| − | <h2>Required Fields</h2> | + | <h2 style="text-align: justify;">Required Fields</h2> |
| − | <h3>Private Details</h3> | + | <h3 style="text-align: justify;">Private Details</h3> |
| − | <ul> | + | <ul style="text-align: justify;"> |
<li>First name;</li> | <li>First name;</li> | ||
<li>Surname;</li> | <li>Surname;</li> | ||
<li>Registration type.</li> | <li>Registration type.</li> | ||
</ul> | </ul> | ||
| − | <p> </p> | + | <p style="text-align: justify;"> </p> |
| − | <h2>Form Creation</h2> | + | <ul style="text-align: justify;"> |
| − | <p>The Registration form will be sent to MedITEX HFEA <span>once a treatment is created.</span></p> | + | </ul> |
| − | <p><span style="white-space: pre;"> </span></p> | + | <h3 style="text-align: justify;">Registration types</h3> |
| − | | + | <ul style="text-align: justify;"> |
| + | <li style="text-align: justify;"><strong>Patient:</strong> The patient is the woman who is undergoing egg collection and/or will receive embryos. </li> | ||
| + | <li style="text-align: justify;"><strong>Partner:</strong> A partner is a person (male or female) of the woman who is undergoing treatment to become pregnant and where that partner intends to be the legal parent of any child born as a result of treatment. Partner information does not need to be supplied if the woman is a gestational surrogate. The partner record is linked to the patient by the Registration Number of the patient.</li> | ||
| + | <li style="text-align: justify;"><strong>Egg donor:</strong> Egg donors should be registered at time of stimulation for collection of eggs. Imported donors should be registered at the time of import.</li> | ||
| + | <li style="text-align: justify;"><strong>Sperm donor:</strong> Sperm donors should be registered when their gametes are first used or transferred between centres. </li> | ||
| + | <li style="text-align: justify;"><strong>Intended mother:</strong> An intended mother is a person (usually as part of a couple) who is providing gametes for the use in treatment and is intending to be the parent of any children born from the treatment but is not undergoing the treatment.</li> | ||
| + | <li style="text-align: justify;"><strong>Intended father:</strong> An intended father is a person who is providing gametes for the use in treatment and is intending to be the father of any children born from the treatment.</li> | ||
| + | <li style="text-align: justify;"><strong>Surrogate:</strong> A surrogate is a woman who is undergoing treatment to become pregnant and where she does not plan to continue to be the child's parent in the long term.</li> | ||
| + | <li style="text-align: justify;"><strong>Mitochondrial only donor:</strong> Since the information collected for a mitochondrial donor differs to that collected for egg donors a person who is both should have an egg donor registration and a mitochondrial donor registration.</li> | ||
| + | <li style="text-align: justify;"><strong>PNT only sperm donor:</strong> This is a man who provides sperm solely for the fertilisation of mitochondrial donated eggs as part of the PNT (pro-nuclear transfer) mitochondrial treatment of a patient.</li> | ||
| + | <li style="text-align: justify;"><strong>Patient & Egg Donor/Sharer:</strong> A patient who is also an egg donor at the same time as their treatment as an egg sharer or before or after their treatment.</li> | ||
| + | <li style="text-align: justify;"><strong>Partner & Sperm/Egg Donor:</strong> Person who is also partner of current patient who is also a sperm or egg donor.</li> | ||
| + | </ul> | ||
| + | <p style="text-align: justify;"> </p> | ||
| + | <h2 style="text-align: justify;">Form Creation</h2> | ||
| + | <p style="text-align: justify;">The Registration form will be sent to MedITEX HFEA <span>once a treatment is created.</span></p> | ||
| + | <p style="text-align: justify;"><span style="white-space: pre;"> </span></p> | ||
| + | | ||
<table style="float: right;" border="0"> | <table style="float: right;" border="0"> | ||
<tbody> | <tbody> | ||
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</tbody> | </tbody> | ||
</table> | </table> | ||
| + | <p style="text-align: right;"> </p> | ||
Latest revision as of 16:11, 8 December 2021
Under construction.
This form should include a record for each person involved in the treatment. The Registration number is assigned by the centre and must be unique within the centre. All people need to supply core information and the remaining details will depend on the registration type chosen.
IMAGE
Contents |
When to submit
Registration details should be submitted within 10 days of the centre agreeing treatment and before any treatment or use of gametes commence. Intended parents and donors should be registered before use of their gametes.
Required Fields
Private Details
- First name;
- Surname;
- Registration type.
Registration types
- Patient: The patient is the woman who is undergoing egg collection and/or will receive embryos.
- Partner: A partner is a person (male or female) of the woman who is undergoing treatment to become pregnant and where that partner intends to be the legal parent of any child born as a result of treatment. Partner information does not need to be supplied if the woman is a gestational surrogate. The partner record is linked to the patient by the Registration Number of the patient.
- Egg donor: Egg donors should be registered at time of stimulation for collection of eggs. Imported donors should be registered at the time of import.
- Sperm donor: Sperm donors should be registered when their gametes are first used or transferred between centres.
- Intended mother: An intended mother is a person (usually as part of a couple) who is providing gametes for the use in treatment and is intending to be the parent of any children born from the treatment but is not undergoing the treatment.
- Intended father: An intended father is a person who is providing gametes for the use in treatment and is intending to be the father of any children born from the treatment.
- Surrogate: A surrogate is a woman who is undergoing treatment to become pregnant and where she does not plan to continue to be the child's parent in the long term.
- Mitochondrial only donor: Since the information collected for a mitochondrial donor differs to that collected for egg donors a person who is both should have an egg donor registration and a mitochondrial donor registration.
- PNT only sperm donor: This is a man who provides sperm solely for the fertilisation of mitochondrial donated eggs as part of the PNT (pro-nuclear transfer) mitochondrial treatment of a patient.
- Patient & Egg Donor/Sharer: A patient who is also an egg donor at the same time as their treatment as an egg sharer or before or after their treatment.
- Partner & Sperm/Egg Donor: Person who is also partner of current patient who is also a sperm or egg donor.
Form Creation
The Registration form will be sent to MedITEX HFEA once a treatment is created.
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