---
title: Egg Donor Application Form with Age Verification & Health Screening Template | Paperform
description: Professional egg donor application template with age verification, fertility assessment, medical history, psychological screening, and legal acknowledgments for fertility clinics and donor programs.
url: "https://paperform.co/templates/egg-donor-application-with-age-verification-health-screening"
type: static
generatedAt: "2026-03-28T00:43:44.224Z"
---

[← Back to free form templates](/templates/)    ![Egg Donor Application with Age Verification & Health Screening](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/egg-donor-application-with-age-verification-health-screening.png)
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### Streamline Your Egg Donor Application Process with Paperform

Finding the right egg donors requires collecting sensitive health information, verifying eligibility requirements, and ensuring legal compliance—all while providing a respectful, professional experience for applicants. This **Egg Donor Application with Age Verification & Health Screening** template helps fertility clinics, donor agencies, and reproductive health centers create a comprehensive yet compassionate intake process.

#### Built for Fertility Clinics and Donor Programs

This template covers every essential aspect of the egg donor screening process: age verification to ensure applicants meet the 21-32 age requirement, detailed medical and family history, lifestyle assessments, psychological readiness questions, and legal acknowledgments. Conditional logic guides applicants through relevant sections based on their responses, while the professional design maintains the sensitivity these applications require.

With Paperform's document-style editor, you can customize questions to match your clinic's specific protocols, add your branding, and create a form that feels approachable rather than clinical. The form can be embedded on your website or shared as a standalone application portal.

#### Connect to Your Workflow with Stepper

Once an application is submitted, [Stepper](https://stepper.io) can automate your entire screening workflow. Route eligible applications to your medical team for review, send automated follow-up emails requesting additional documentation, schedule initial consultations, and keep your CRM or database updated—all without manual data entry.

#### HIPAA Considerations

Please note that Paperform is not HIPAA compliant. For programs requiring HIPAA compliance for protected health information, consider using this form for initial screening and eligibility verification, then transition qualified applicants to your secure, HIPAA-compliant systems for detailed medical record collection.

Trusted by healthcare providers worldwide and featuring SOC 2 Type II compliance, Paperform gives fertility clinics and donor agencies a professional, secure platform for managing sensitive applications with care and efficiency.
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