Name of Centre (required)
Name of person submitting the application (required)
Email of person submitting the application (required)
Name of First Trainer (required)
Email of First Trainer (required)
Name of Second Trainer (required)
Email of Second Trainer (required)
Date of Application (required)
overseas centre no hfea licence
Training course(s) applied for: (Please tick the box/es provided) (required) Assisted ConceptionCreating Modern Families and Donor Assisted ConceptionEmbryo Transfer / IUIFertility PreservationManagement of the Infertile CoupleMale FertilityPelvic UltrasoundPre-implantation Genetic TestingQuality Management of a Fertility Service
Pelvic Ultrasound for Reproductive Medicine Training Course:
Please attach a copy of the HFEA license or equivalent. (required) Does the centre have access to a daily, diagnostic pelvic ultrasound service?(required) YesNo If you selected no, please provide details of.... Will the trainee have access to at least 5 scans per week? (required) YesNo If you selected no, please provide details of.... Are both transvaginal and transabdominal options for scanning available? (required) YesNo If you selected no, please provide details of....
Embryo Transfer / IUI Training Course: Please attach a copy of the HFEA license or equivalent. (required) Will the trainee have access to at least 3 embryo transfers per week? (required) YesNo If you selected no, please provide details of....
Assisted Conception Training Course: Please attach a copy of the HFEA license or equivalent. (required) Are there in excess of 250 fresh IVF cycles available per year? (required) YesNo If you selected no, please provide details of....
Male Fertility Training Course: Please attach a copy of the HFEA license or equivalent. (required)
Quality Management of a Fertility Service Training Course: Please attach a copy of the HFEA license or equivalent. (required) Does the centre have an HFEA recognised “person responsible(PR)”? (required) YesNo If you selected no, please provide details of.... Will the trainee have access to at least 2 sessions per week with the PR? (required) YesNo If you selected no, please provide details of....
Fertility Preservation Course: Please attach a copy of the HFEA license or equivalent. (required) Does the centre offer fertility preservation services? (required) YesNo If you selected no, please provide details of.... Will the trainee have exposure to a minimum of 2 sessions of Assisted Conception training per week (required) YesNo If you selected no, please provide details of....
Management of the Infertile Couple Training Course: Please attach a copy of the HFEA license or equivalent. (required) Are there 2 dedicated sessions per week on MIC? (required) YesNo If you selected no, please provide details of....
Creating Modern Families and Donor Assisted Conception: Please attach a copy of the HFEA license or equivalent. (required)
Pre-implantation Genetic Testing Please attach a copy of the HFEA license or equivalent. (required) Are there in excess of 250 fresh IVF cycles available per year? (required) YesNo If you selected no, please provide details of....
I have read and agreed to follow the expectations of the trainer document
