Scope of Services
Describe screening, medical procedures, counseling, anesthesia, and any laboratory or storage services. Specify which procedures are included versus optional and how additional services are billed or authorized.
A well-drafted retainer clarifies rights, payment terms, medical consent, and confidentiality so parties minimize misunderstandings and document informed consent under HIPAA and state law.
Clinics, donors, agency coordinators, and reproductive attorneys use this agreement to document consent, fees, and legal representations before procedures.
Having the right signers and documentation in place reduces legal uncertainty and supports enforceability under ESIGN and applicable state laws.
The egg donor must provide informed consent, confirm accuracy of personal data, accept medical and counseling disclosures, and sign the payment and confidentiality provisions in the retainer.
The fertility clinic or agency signs to acknowledge services, payment arrangements, and data handling obligations; a clinic representative or authorized officer should sign on behalf of the facility.
Describe screening, medical procedures, counseling, anesthesia, and any laboratory or storage services. Specify which procedures are included versus optional and how additional services are billed or authorized.
State the exact compensation amount, payment schedule, escrow or trust arrangements, timing of final payments, and whether reimbursements (travel, lost wages) are included or require separate claims.
Include medical risks, alternatives, and confirmation the donor received counseling. Note that consent covers specific procedures and the retention of medical records under HIPAA rules.
Define protected health information handling, permitted disclosures, data access, and any anonymity or donor identity disclosure limitations consistent with clinic policies and HIPAA requirements.
Identify retained counsel, whether the donor had independent legal advice, fee allocation for legal review, and any waiver language regarding future parental claims or rights.
Set out termination rights, refund or prorated payment mechanics, dispute resolution (mediation/arbitration), and applicable governing law for interpreting the agreement.
Choose an eSignature workflow that preserves audit trails, secures PHI, and complies with ESIGN and UETA rules for electronic signatures.
Platforms that support audit trails, tamper-evident signed PDFs, and optional advanced signer authentication help preserve enforceability and demonstrate intent, attribution, and retention under 15 U.S.C. ch. 96.
| Field | Configuration |
|---|---|
| Signature block | Required; date and printed name fields |
| HIPAA consent checkbox | Required; must record consent timestamp |
| Payment instruction | Escrow details or payment link |
| Attorney acknowledgment | Optional field for counsel signature |
Enter the MM/DD/YYYY when obligations begin.
Date of first screening or procedure.
Specify required notice period for termination.
Document when donor had opportunity for legal review.
Date from which retention periods are measured.
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day free trial | Varies | Varies | Varies | Varies |
| Bulk Send | Yes | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |
Clinic integrated an electronic retainer to capture donor consent and payment terms quickly
An agency standardized a retainer template for all donor intake