Sperm Bank Donor Identity Verification & Screening Form
About this free form template

Streamline Sperm Bank Donor Screening with Paperform

For sperm banks, fertility clinics, and reproductive health organizations, thorough donor screening is essential for ensuring the safety and quality of your donor program. This Sperm Bank Donor Identity Verification & Screening Form template provides a comprehensive, HIPAA-consideration-ready solution for collecting critical information from prospective sperm donors.

A Complete Donor Intake Solution

This template captures everything you need in the initial screening phase: personal identity verification, detailed medical and family history, genetic testing consent, STD screening acknowledgment, education and employment verification, physical characteristics, lifestyle factors, and compensation agreement acknowledgment. By consolidating all these elements into one professional form, you eliminate the need for multiple paper forms or scattered intake processes.

The conditional logic built into this template ensures donors only see relevant follow-up questions based on their answers, creating a streamlined experience while capturing comprehensive information. For example, if a donor indicates a family history of genetic conditions, additional detail fields appear automatically.

Designed for Healthcare and Fertility Industry Professionals

Whether you're a sperm bank coordinator, fertility clinic administrator, or reproductive health professional, this form helps you maintain rigorous screening standards while providing a respectful, professional experience for potential donors. The template covers all major screening categories recommended by industry guidelines, including the American Society for Reproductive Medicine (ASRM) standards.

Key features of this template:

  • Identity verification with photo ID upload
  • Comprehensive medical and family history collection
  • Genetic testing and STD screening consent sections
  • Education and employment verification
  • Detailed physical characteristics and ancestry tracking
  • Lifestyle and behavioral health questions
  • Legal acknowledgment and compensation agreement

Automate Your Donor Workflow with Stepper

Once a donor submits their screening form, you can use Stepper to automate your entire donor qualification workflow. Create automated processes that:

  • Route applications to medical reviewers based on initial screening results
  • Send follow-up emails requesting additional documentation
  • Schedule medical appointments and genetic counseling sessions
  • Update your donor database or CRM with new applicant information
  • Trigger background check requests for qualified candidates
  • Notify lab staff when a donor is approved and ready for sample collection

This automation ensures no applicant falls through the cracks and maintains consistent follow-up throughout your screening process.

Secure, Professional, and Compliant

Built on Paperform's SOC 2 Type II certified platform, this template provides the security and professionalism your organization needs. All submissions are encrypted, and you can configure data residency settings to meet regional requirements. The form's clean, professional design respects the sensitive nature of donor applications while maintaining your brand identity.

Whether you're establishing a new donor program or modernizing your existing screening process, this template gives you a complete, ready-to-use solution that can be customized to your specific protocols and requirements.

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logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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