Forms

Prior to shipping of donor sperm, our Purchaser Semen and Storage Agreement needs to be completed.

For Patients with a Partner or Spouse, we recommend both parties initial and sign the form. Enter both names and email addresses on the form. The Patient should initial and sign before submitting it to the Partner or Spouse for their initials and signature.

For single customers, simply leave the second Name and Email blank.

Upon submission of the completed form, you will receive an email confirmation and an emailed copy of the signed form to keep for your records.

The form can be signed and submitted electronically:

This form can also be printed, signed and faxed to: (206) 466-4696 or scanned and emailed to forms@seattlespermbank.com.

If samples are shipped to your home or picked up at our office please have a physician or other licensed healthcare provider sign our Clinical Release Form.
If you are a NY State resident, this release form is required for all orders and can only be completed by your physician.

This form can also be printed, signed and faxed to: (206) 466-4696 or scanned and emailed to forms@seattlespermbank.com.

You can also mail any of this signed paperwork to:

Seattle Sperm Bank
4915 25th Avenue NE, Ste 204
Seattle, WA 98105