Forms

Hardcopy/pdf
Regulation

Application for Registration of a Victorian ART clinic

This application provides information to meet the statutory requirements outlined in the Conditions for Registration. This application is to be completed utilising these conditions. 

Hardcopy/pdf
Assisted reproduction treatment (ART), Donor conception, Regulation

Application to import or export donated sperm, eggs or embryos

The Assisted Reproductive Treatment Act 2008 (the Act) requires that a person must not bring donor gametes, or embryos produced from donor gametes, into Victoria, or take them from Victoria, except with the written approval of the Victorian Assisted Reproductive Treatment Authority (VARTA). In addition, section 36 of the Act requires that those gametes or embryos taken from Victoria be used in a manner consistent with a purpose for which they could be used in Victoria.

Birth notification form - Clinics
Published: April 2017
Page
Assisted reproduction treatment (ART)

Birth Notification Form - ART Clinics

 

This form is for registered assisted reproductive treatment providers to submit to VARTA's Central Register, information about:

  • the birth of a child born as a result of the donor treatment procedure
  • a pregnancy that occurred as a result of the donor treatment procedure
  • a donor tretament procedure where the outcome of that procedure is unknown.
Birth notification form - Doctors
Published: April 2017
Page
Assisted reproduction treatment (ART)

Birth notification form - ART Doctors

This form is for medical practitioners conducting artificial insemination procedures using donated gametes to submit to VARTA's Central Register, information regarding:

  • the birth of a child born as a result of the procedure
  • a pregnancy that occurred as a result of the procedure
  • each procedure performed.

 

Hardcopy/pdf
Assisted reproduction treatment (ART), Donor conception, Surrogacy

Brochure Order Form

The following brochures are available in hardcopy:

  • Possible health effects of IVF
  • Finding an egg donor
  • Finding a surrogate
  • Time to Tell
  • Thinking of using donor sperm, eggs or embryos?
  • Thinking of donating donor sperm, eggs or embryos?
  • Donor Conception Register Services

 

Central Register application form image
Author: VARTA
Published: February 2017
Hardcopy/pdf
Donor conception register services

Central Register application form

Application form options:

A. Open application form document > Print document > Write information > Sign > Scan and email to VARTA OR post to VARTA

B. Open application form document and save it as a pdf file to your computer > Open document from your computer (requires Adobe Reader* at least version 8)   > Type your information into the form > Save form >Print and sign form > Scan and email OR post form to VARTA 

Author: VARTA
Hardcopy/pdf

Export class application

Class application to export donated sperm interstate by a Victorian registered ART provider.

he Assisted Reproductive Treatment Act 2008 (the ART Act) requires that a person must not bring donor gametes, or embryos produced from donor gametes, into Victoria, or take them from Victoria, except with the written approval of the Victorian Assisted Reproductive Treatment Authority (VARTA).

Author: VARTA
Hardcopy/pdf
Donor conception

Import class application

Class application to import donated gametes by a Victorian registered ART provider.

The Assisted Reproductive Treatment Act 2008 (the ART Act) requires that a person must not bring donor gametes, or embryos produced from donor gametes, into Victoria, or take them from Victoria, except with the written approval of the Victorian Assisted Reproductive Treatment Authority (VARTA).

VARTA Voluntary Register Application Form image
Author: VARTA
Published: February 2017
Hardcopy/pdf
Donor conception register services

Voluntary Register application form

Application form options:

A. Open application form  > Print document > Write information > Sign > Scan and email to VARTA OR post to VARTA

B. Open application form document and save it as a pdf file to your computer > Open document from your computer (requires Adobe Reader* at least version 8)   > Type your information into the form > Save form > Print and sign form > Scan and email OR post form to VARTA