Egg and Sperm Donation

Thank you for your interest in donating eggs or sperm. These can be used either for research in the laboratory only or used to help someone else have a child. if you would like further information about either option, please complete the information below and you will be contacted by a member of the Clinical or Research Team from Newcastle Fertility Centre at Life.

Title
Name * First Last
Date of birth * / DD / MM YYYY
Phone number *
Email *
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Comments
Please tick all the sections that your want information about.
Egg donation for research Egg donation to help someone else have a child Sperm donation to help someone else have a child
Where did you hear about this research? *
Data Protection Statement

Your data will be accessed by clinical staff of the Newcastle Fertility Centre at Life, for the purpose of contacting you for a further discussion about egg and sperm donation. Your data will be removed from this list when you have been contacted and would only be further stored as part of any ongoing study you agree to participate in. Your data will be managed at all times in accordance with the Data Protection Act 2018. If you have any questions regarding the storage of your data, you can contact us here: nuth.Egg.Donation@nhs.net.

Egg and Sperm Donation

Egg and Sperm Donation

Data Protection Statement