Click on title below to view or download patient form. Consent for Hysterosalpingogram Consent for Therapeutic Insemination Married Recipient with Husband Sperm Consent for Therapeutic Insemination Unmarried Recipient with Sexually Intimate Partner Sperm Consent for Therapeutic Insemination Married Recipient with Anonymous or Directed Donor Sperm Consent for Therapeutic Insemination Unmarried Recipient Anonymous or Directed Donor Sperm Consent to Treatment for Gonadotropin Therapy Consent for Intrauterine Insemination Informed Consent for Assisted Reproduction: In Vitro Fertilization, Intracytoplasmic Sperm Injection, Assisted Hatching, Embryo Biopsy and Embryo Cryopreservation Consent to Release PHI from RRC Consent to Release PHI to RRC

12200 West 106th Street | Suite 120 Overland Park, KS 66215 Office: 913-894-2323 | Toll-free: 877-221-2323 | Fax: 913-894-0841 Copyright © 2001 by Reproductive Resource Center of Greater Kansas City, P.A. All Rights Reserved. Notice of Privacy Practices