Victorian Consolidated Regulations

Infertility Treatment Regulations 1997 - SECT 5

Information required prior to treatment procedure

5. Information required prior to treatment procedure

The prescribed information required under section 10(2) of the Act to be given
by a woman and her husband is-

   (a)  in relation to the woman and her husband-

   (i)  the full names of the woman and her husband;

   (ii) their respective dates of birth;

   (iii) their respective occupations;

   (iv) details of any physical abnormality in either of them;

   (b)  in relation to a woman who has given birth to a child as a result of a
        previous treatment procedure, if known-

   (i)  the name of the centre where the treatment procedure was performed;

   (ii) if applicable, the donor code;

   (iii) the name and address of the hospital where the child was born;

   (iv) the medical record number of the hospital where the child was born;

   (v)  the full name of the child;

   (vi) the date and the time of birth of the child;

   (vii) the sex of the child;

   (viii) the weight of the child at birth;

   (ix) the gestational age of the child at birth;

   (x)  if applicable, a description of any malformations or other
        abnormalities in the child;

   (xi) if the child was not liveborn, the reason;

   (xii) whether the birth of the child was a single or multiple birth;

   (xiii) in relation to a multiple birth-

                (A)  the place of the child in the order of birth;

                (B)  the total number of births, whether liveborn or not;

                (C)  the sex of each sibling;

                (D)  if any of the other children were not liveborn, the
                     reason.