Key messages

  • Use the forms on this page to make applications to the Patient Review Panel.
  • The Panel considers applications either at a hearing or 'on the papers' when the applicant is not required to be present.
  • The Panel must inform you of its decision within 14 days after hearing the application.

The Patient Review Panel considers applications for a range of procedures related to assisted reproduction.

Pre-implantation genetic diagnosis

Use this application form if you and your partner (if applicable) seek approval to use pre-implantation genetic diagnosis (PGD), or equivalent, to select the gender of your child.

Posthumous use of gametes

Use this application form if your partner is deceased and you wish to use their gametes or embryos formed from their gametes in an ART procedure.

Presumption against treatment

Use this application form if you and/or your partner (if applicable) have been advised that you have a presumption against treatment by your ART provider due to a criminal offence on your criminal record and/or your child protection order check disclosing that an order has been made removing a child from the custody or guardianship of you and/or your partner.

Removal of embryo from storage

Use this application form if you currently have embryos in storage at an ART provider and you wish to remove those embryos from storage but the other gamete provider does not agree to that removal.

Extension of storage for embryos

Use this application form if you and/or your partner (if applicable) have embryos currently in storage at an ART provider and you wish to extend that storage.

Extension of storage for gametes

Use this application form if you have sperm, eggs or ovarian tissue (ie. gametes) currently in storage at an ART provider and you wish to extend that storage.

Surrogacy arrangement

Use this application form if you and your partner (if applicable) are seeking to enter into a surrogacy arrangement.

Criteria not met

Use this application form if you and/or your partner (if applicable) do not meet the criteria for treatment stated in Section 10(2)(a) of the Assisted Reproductive Treatment Act 2008 (the ART Act).

Completing an application form

Download the relevant application form. All the necessary forms are available to download from this page.

Each form includes an information sheet with instructions on how to complete the application. Detach the information sheet before sending.

If you have any questions or concerns about completing an application, please contact your Assisted Reproductive Treatment (ART) provider in the first instance.

Sending an application form

Applications can be sent by email or regular mail. Express or registered post is recommended for regular mail.

The postal address for regular mail is:

Patient Review Panel
GPO Box 4541
Melbourne Victoria 3001

After the Panel receives an application

When the Panel receives your application, it will notify you of the hearing date.

You will be advised whether you need to attend a hearing before the Panel, or whether the matter will be determined without the need for you to attend.

Generally, you will need to attend a hearing if the application is for surrogacy arrangements, presumptions against treatment, posthumous use of gametes and embryos and concern of risk of abuse or neglect to a child.

You may not need to attend a hearing if the application is for extended storage periods of gametes or embryos.

Notice of the hearing

If you need to attend a hearing, you will be served with a notice of the hearing that states:

  • the nature of the hearing
  • the time and place of the hearing
  • that the applicant is entitled to be present at the hearing, to make submissions and to be accompanied by another person
  • that the hearing will not be open to the public
  • that there is no right to legal representation at the hearing without leave from the Panel
  • the possible findings or orders that the Panel may make.

Outcomes and decisions of the Panel

The Panel must inform you of its decision within 14 days after hearing the application.

Hearing outcomes are provided on a sealed certificate that sets out the panel’s decision. Where appropriate, the Panel will provide written reasons for the decision.

A copy of the certificate will be forwarded to your assisted reproductive treatment clinic.

If the certificate states that there is a barrier to treatment, then under no circumstances must treatment proceed.

Note that clinics are not obliged to provide treatment even if the certificate states that treatment may proceed.

Guidelines

All Panel Guidelines are currently under review and will be available again from 1 July 2019.

Contact details

  • Patient Review Panel

    Postal address: Patient Review Panel, GPO Box 4541, Melbourne Victoria 3001