Donate Your Sperm

Tell us where you would like to donate

Please answer these questions to ensure safety when donating sperm.

Do you have any known medical history of a serious hereditary disorder?

Please confirm that you have not had a recent STI and you will not be putting yourself at risk?

Do you have any serious ongoing medical conditions?

Do you smoke more then 10 cigarettees per day?

Do you use recreational drugs?

Have you donated your sperm at another clinic?

Do you drink more than 14 units per week?

Do you accept that you will be identifiable to any child born through your donation from their 18th birthday?

Please fill in all mandatory fields. (*)

First Name

Surname

Telephone Number

Confirm email

Date of birth

Country

Address line 1

Address line 2

City/Town

County

Postal code

Message

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