Public Fertility Care

If you're interested in becoming an egg or sperm donor, simply complete the form below.

The Public Fertility Care donor team will contact you about your interest and guide you through the next steps.

First name *

Last name *

Sex *

Date of birth *

Month

Day

Year

Please let us know about your current residency status *

Australian citizen
Permanent resident
Temporary visa

Please tell us how you would best describe your current relationship status *

Single
Married
Defacto

Are you happy to participate in screening tests and medical examinations? *

Yes
No

Donating *

Eggs
Sperm
Eggs previously frozen I no longer need

Have you donated egg or sperm before? *

Yes
No

Are you currently undertaking fertility treatment? *

Yes
No

Please share your email address with us *

Please enter your phone number *

Please share your postcode *

Do you have any children? *

Yes
No

If yes, what is the age of your youngest child?

About this form

This form helps us determine if you are eligible to make a life-making donation. Once submitted, we’ll contact you to let you know if you are eligible. At that stage, we can talk you through what's involved in the donation process and answer any questions you have.

Protecting your privacy

There are strict privacy laws, policies and procedures that are in place to govern the collection, use, release and disposal of your health information. Please be assured, your privacy is important to us. We will only collect and use this information for the purposes of egg or sperm donation or otherwise in accordance with Victorian Privacy Law.