UH Motion To Dismiss
UH Motion To Dismiss
UH Motion To Dismiss
4685189
NAILAH K. BYRD
CUYAHOGA COUNTY CUERK OF COURTS
1200 Ontario Street
Cleveland, Ohio 44113
MOTION TO DISMISS
May 11,2018 15:25
vs.
Judge: STUART A. FRIEDMAN
UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER
Pages Filed: 22
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IN THE COURT OF COMMON PLEAS
CUYAHOGA COUNTY, OHIO
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DEFENDANTS’ MOTION TO DISMISS PLAINTIFFS’ COMPLAINT
UNDER CIV.R. 12(B)(6) IN CASE NUMBER CV-18-894396
Medical Center (UHCMC) moves to dismiss the Complaint filed by Plaintiffs Wendy Penniman
2
and Rick Penniman in Case Number CV-18-894396 (Penniman I).
UHCMC serves more than 1.2 million patients throughout Northeast Ohio. UHCMC’s
healthcare staff members are committed to providing quality services to each patient they serve.
When a lawsuit is filed, Ohio law requires patients to support all medical claims asserted with an
affidavit of merit. Under Ohio law, a “medical claim” is defined the same way in every context:
Plaintiffs’ Complaint in Penniman I asserts six different theories of recovery, five of which are
asserted against UHCMC. Regardless of the theory alleged, all five counts in Penniman I
asserted against UHCMC fall under the umbrella of this definition. Rome v. Flower Mem. Hosp.,
70 Ohio St.3d 14 (1994). Yet Plaintiffs did not submit the affidavit of merit required by Civ.R.
3
10(D)(2)(a), nor did they ask for additional time to produce one. Plaintiffs thus fail to state a
1
Incorrectly named in Plaintiffs’ Complaint as “University Hospitals Ahuja Medical Center.” The proper defendant
is University Hospitals Cleveland Medical Center, which operates the UH Fertility Center where the events in
question occurred.
2
The Pennimans have filed two separate lawsuits in this litigation. UHCMC filed a separate motion to dismiss
Plaintiffs’ complaint in Case Number CV-18-895503 (Penniman II). This Court had consolidated Penniman II with
Penniman I, which had been consolidated with Brickel v. University Hospitals, Case Number CV-18-894332. See
4/26/18 Mem. Op. & Order.
3
At least one Plaintiffs’ law firm recognized that the claims asserted in this litigation are medical claims, and
therefore filed with the complaint a motion for extension of time to file an affidavit of merit. See generally Mot. for
Extension of Time, Jane Doe Fertility Patient v. University Hospitals Health Sys., Inc., et al, Cuyahoga C.P. CV-
18-897272 (May 7, 2018).
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claim for relief and their claims must be dismissed per Fletcher v. University Hospitals of
Respectfully submitted,
s/Rita A. Maimbourg_ _ _ _ _ _
Rita A. Maimbourg (0013161)
Robert R. Tucker (0013098)
Edward E. Taber (0066707)
Tucker Ellis LLP
950 Main Avenue—Suite 1100
Cleveland, OH 44113-7213
Tel: 216.592.5000
Fax: 216.592.5009
rita.maimbourg@tuckerellis.com
robert.tucker@tuckerellis.com
edward.taber@tuckerellis.com
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BRIEF IN SUPPORT
UHCMC provides a wide range of fertility services at the University Hospitals Fertility
Center. Compl. t 14-15. Those services include not only “[o]vulation inducement induction,
intrauterine insemination, and tubal sterilization reversal,” but in vitro fertilization (IVF). Id. at
t 15. IVF involves “the process of removing an egg, fertilizing it and returning it [to] a woman’s
body to carry,” and “usually involves embryo cryopreservation, where excess embryos from a
single procedure or cycle are frozen for implantation at a later date.” Id. at t 16.
As Plaintiffs recognize, these services require medical expertise. They claim to have
relied on UHCMC’s skill in “protecting, preserving, extracting and storing * * * eggs and
embryos” at its Fertility Center. Id. at t 2. Indeed, the expertise required to extract, preserve, and
store viable human embryos as part of the in vitro fertilization procedure is implicit in Plaintiffs’
description of those services as “cryopreservation” and their recognition that it was intended for
Individually and collectively, these fertility services support, and are a necessary part of,
assisted reproductive treatment in the form of “implantation at a later date.” Id.; see also id. at
Plaintiffs utilized the services of the UH Fertility Center in 2014, resulting in the
development of three embryos that were “frozen under the premise of having them [implanted]
in the future.” Compl. tt 19, 20. Plaintiffs claim those frozen embryos were among the embryos
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determined to be no longer fit for implantation following the March 2018 incident at the UH
Plaintiffs claim that these services were provided under a “contract” with UHCMC.
Compl. ^ 46. The contract is a signed medical Informed Consent form entitled “Embryo
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Cryopreservation” (IVF Form). The IVF Form told Plaintiffs that the purpose of freezing
that the form’s “purpose is to inform you about embryo cryopreservation * * * prior to placing
the embryo into the uterus in order to increase the likelihood of establishing a normal
pregnancy”). The IVF Form also informed Plaintiffs that “the success rate with frozen embryos
Plaintiffs assert six theories of recovery, five of which are asserted against UHCMC:
negligence (Count I); breach of contract (Count II); negligent infliction of emotional distress
(Count III); res ipsa loquitur (Count V); and bailment (Count VI)/ Plaintiffs’ assertions
regarding failures in the delivery of medical services (extracting, preserving, and storing
embryos) - specifically, allegedly failing to properly preserve the eggs and embryos - for
medical treatment (implantation and/or IVF) are at the root of each theory of recovery:
4
The Plaintiffs’ IVF Form is attached to this Motion as Exhibit A. UHCMC can rely on the form, which Plaintiffs
reference in their Complaint, without converting this motion into one for summary judgment. E.g., NCS Healthcare,
Inc. v. CandlewoodPartners, LLC, 160 Ohio App.3d 421, 2005-Ohio-1669, ^ 20 (8th Dist.).
5
Count V, which is a claim for strict liability against a John Doe Manufacturer, is not asserted against UHCMC and
therefore that claim is not subject to this motion.
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• Compl. ^ 46, 49 (breach-of-contract claim alleging UHCMC “agreed to collect, store,
maintain, preserve, and deliver [the] eggs and embryos to the patient at a later date”);
• Compl. ^ 60 (res ipsa loquitur claim alleging that Plaintiffs’ “injuries and harm”—
i.e., the loss of the eggs and embryos—would not have occurred if “ordinary care had
been observed” by UHCMC); and
• Compl. ^ 63-69 (bailment claim alleging that UHCMC had a duty to safeguard their
eggs and embryos and that they “have been deprived of the opportunity to use their
eggs and embryos” because of UHCMC’s conduct).
The Ohio General Assembly, long ago, and for important public policy reasons,
established a framework for adjudicating claims such as these, and, accordingly, courts routinely
have dismissed medical claims in the absence of an affidavit of merit. Civ.R. 10(D)(2)(a);
Fletcher v. Univ. Hosps. of Cleveland, 120 Ohio St.3d 167, 2008-Ohio-5379, paragraph one of
the syllabus; Woods v. Riverside Methodist Hosp., 10th Dist. Franklin No. 11AP-689, 2012-
Ohio-3139, ^ 8-12. An affidavit of merit contains “several averments that go to the validity of
the medical claim.” Fletcher, 2008-Ohio-5379, ^ 9. Among the required averments is that the
standard of care was breached, causing injury. Civ. R. 10(D)(2)(a)(iii). Without this affidavit, a
court is left with “mere conclusions” that “are not taken as admitted by a [Civ.R. 12(B)(6)]
motion to dismiss and are not sufficient to withstand such a motion.” Fletcher, 2008-Ohio-5379,
| 14, quoting Mitchell v. Lawson Milk Co., 40 Ohio St.3d 190, 193 (1988).
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B. Every count in the Complaint in Penniman I falls under the
umbrella of a “medical claim” as defined by statute.
Under Ohio law, a “medical claim” is defined the same way in every context:
R.C. 2305.113(E)(3); see also R.C. 2323.43 (incorporating this definition into the noneconomic
damages cap); Civ.R. 10(D)(2)(a) (incorporating this definition into the affidavit-of-merit
requirement).
When the General Assembly defines a class of claims for certain purposes, as it did here,
this classification applies to all claims falling under the definition, regardless of the form (theory
of recovery) adopted. E.g., Andrianos v. Community Traction Co., 155 Ohio St. 47 (1951)
(contract claim for alleged bodily injury subject to two-year statute of limitations). Because the
plain language of the definition controls, id. at 51, it applies across the board unless “the General
Assembly sees fit [to carve out a theory of recovery] by an enactment carrying appropriate
The General Assembly did not carve out any such theory when defining a medical claim.
Instead, the legislature broadly declared that “any claim” arising out of the medical care,
added). Thus, regardless of the theory of recovery alleged, a claim falls under the umbrella of a
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R.C. 2305.113(E)(3); see also Stevic v. Bio-Medical Application of Ohio, Inc., 121 Ohio St.3d
488, 2009-Ohio-1525, | 19.6 Since UHCMC is a hospital, and a hospital is one such covered
entity (R.C. 2305.113(E)(3)), the only issue left is whether the five theories of recovery asserted
against UHCMC arise out of the medical diagnosis, care, or treatment of any person. They do.
Claims arising out of the medical diagnosis, care or treatment of a person include claims
involving the use of hospital equipment, if this use is ancillary to and an inherently necessary
part of that diagnosis, care, or treatment. Rome v. Flower Mem. Hosp., 70 Ohio St.3d 14, 16-17
(1994). One of the cases consolidated for decision in Rome concerned an injury caused by a
wheelchair collapse during transport from a physical therapy treatment. The Ohio Supreme
Court held that this was a medical claim because “the transport of [plaintiff] from physical
therapy was ancillary to and an inherently necessary part of his physical therapy treatment.” Id.
Following Rome, a claim for negligent use of equipment is a medical claim if this use is a
necessary part of medical care or treatment. Taylor v. Meridia Huron Hosp., 8th Dist. Cuyahoga
No. 80121, 2002-Ohio-3449, | 3, 24-26 (negligent use of CT scan machine); Blitz v. Marymount
Hosp., 120 Ohio App.3d 526, 528 (8th Dist.1997) (negligent use of emergency room bed). Since
a medical claim includes “any claim” arising out of medical diagnosis, care, or treatment (R.C.
• Rodgers v. Genesis Healthcare Sys., Inc., 5th Dist. Muskingum No. CT2015-0030,
2016-Ohio-721, | 5, 27-28 (medical claims include fraud and negligent
understaffing);
Needless to say, classifying a claim for one purpose does not alter the claim for any other purpose. So while a
claim that is a medical claim must meet the threshold requirement of an affidavit of merit and is subject to its own
statute of limitations and noneconomic damages cap (see R.C. 2305.113(E)(3); R.C. 2323.43; Civ.R. 10(D)(2)(a)), it
retains its separate identity for all other purposes and remains subject to the same elements and burden of proof that
apply to that claim generally.
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• Ratcliffe v. University Hosp. of Cleveland, 8th Dist. Cuyahoga No. 61791, 1993 WL
69553, at * 4 (Mar. 11, 1993) (medical claims include breach of contract and breach
of fiduciary duty);
• Amadasu v. O’Neal, 176 Ohio App.3d 217, 2008-Ohio-1730, |2, 8-9 (1st Dist.)
(medical claims include assault and battery and alleged violations of the Ohio
Consumer Sales Practices Act);
• Am. Dental Ctr. v. Wunderle, 8th Dist. Cuyahoga No. 62548, 1993 WL 372276, at *1,
4 (Sept. 16, 1993) (similar definition of “dental claim” includes claims for breach of
expressed and implied warranties arising out of dental treatment).
eggs and embryos, including alleged failures to “maintain, inspect and monitor their liquid
nitrogen/storage tanks,” and “to have adequate procedures and security practices to safeguard”
Plaintiffs’ eggs and embryos. See, e.g, Compl. ^ 2, 3, 23, 24, 25, 26, 27, 33, 40, 41, 42, 46, 52,
59, 68, 69. These services require medical expertise, see id. at ^ 2, 3, 15, 16, 17-20, and arise
out of the IVF treatment Plaintiffs sought, see id. at ^ 17-20, 21, 39, 46, 51, 59, 63-69. Since
Plaintiffs’ claims arise out of medical treatment (IVF), they are medical claims that require an
affidavit of merit. See R.C. 2305.113(E)(3); accord Institute for Women’s Health, P.L.L.C. v.
Imad, Tex. Ct. App. No. 04-05-00555-CV, 2006 WL 334013, at *3 (Feb. 15, 2006) (handling of
embryos “necessarily involves the health care provided to” plaintiff and fertility center’s embryo
It does not matter that these allegations concern, in part, the operation of a storage tank.
The eggs and embryos were stored there for later implantation and IVF treatment. Compl. ^ 18,
19, 20; IVF Form at 1, Ex. A (purpose of embryo cryopreservation is to “increase the likelihood
of establishing a normal pregnancy”). Use of the storage tank is ancillary to implantation and
IVF treatment because this treatment cannot be accomplished without storage of the eggs and
embryos. And it is inherently necessary because if the eggs and embryos were not frozen and
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stored, there would be nothing to implant or fertilize. Any claim asserting fault in the
maintenance and operation of the storage tank is thus a medical claim. Rome, 70 Ohio St.3d at
16-17.
Similarly, Plaintiffs cannot avoid the affidavit of merit requirement by asserting contract-
based theories of recovery. As discussed, “any claim” arising out of the medical treatment of
any person is a medical claim. R.C. 2305.113(E)(3). All of Plaintiffs’ theories of recovery
against UHCMC stem from the common allegation that UHCMC failed to properly “safeguard
the storage of eggs and embryos” while stored in a tank for use in medical treatment. Compl.
^ 40-42, 46, 51-52, 59-60, 63-68. Because that alleged failure is ancillary to and an inherently
necessary part of Plaintiffs’ assisted reproductive treatment, every theory of recovery falls under
the umbrella of a medical claim. See, e.g., Rodgers, 2016-Ohio-721, | 5, 27-28; Ratcliffe, 1993
WL 69553, at *4; Amadasu, 2008-Ohio-1730, ^ 2, 8-9; cf. Am. Dental Ctr., 1993 WL 372276, at
Since Plaintiffs’ theories of recovery in Penniman I fall under the umbrella of a medical
claim, they had to attach an affidavit of merit to the Complaint. See Fletcher, 2008-Ohio-5379,
paragraph one of the syllabus; Civ.R. 10(D)(2)(d). They failed to do so and, as a result, the
Penniman I Complaint does not state a claim for relief as to the claims asserted against UHCMC
III. CONCLUSION
Plaintiffs’ Complaint against UHCMC in Penniman I presents medical claims that fail to
comply with Civ.R. 10(D)(2) because they lack an affidavit of merit. Plaintiffs thus fail to state a
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claim upon which relief should be granted and this Court should dismiss the claims asserted
Respectfully submitted,
s/Rita A. Maimbourg_ _ _ _ _ _
Rita A. Maimbourg (0013161)
Robert R. Tucker (0013098)
Edward E. Taber (0066707)
Tucker Ellis LLP
950 Main Avenue—Suite 1100
Cleveland, OH 44113-7213
Tel: 216.592.5000
Fax: 216.592.5009
rita.maimbourg@tuckerellis.com
robert.tucker@tuckerellis.com
edward.taber@tuckerellis.com
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CERTIFICATE OF SERVICE
A true copy of the foregoing has been filed with the Court and sent via electronic mail on
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Leslie O. Murray, Esq. leslie@murrayandmurray.com
John T. Murray, Esq. j otm@murrayandmurray. com
Murray & Murray Co., L.P.A.
Attorneys for Brent and Heather Christman (Case No. CV 18 897208)
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Mark A. DiCello, Esq. madicello@dlcfirm.com
Jim Casey, Esq. jcasey@dlcfirm.com
Robert F. DiCello, Esq. rfdicello@dlcfirm.com
Kenneth P. Abbarno, Esq. kabbamo@dlcfirm.com
Mark M. Abramowitz, Esq. mabramowitz@dlcfirm.com
DiCello Law Firm
Attorneys for Plaintiffs Jane & John Doe (Case No. CV 18 896709)
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Andrew J. Thompson, Esq. athompson@shaperoroloff. com
Neal E. Shapero, Esq. nshapero@shaperoroloff.com
Abby L. Botnick, Esq. abotnick@shaperoroloff.com
Shapero | Roloff Co., LPA
Attorneys for PlaintiffKatelynn Gurbach (Case No. CV 18 895150)
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David M. Paris, Esq. dparis@nphm.com
Pamela E. Pantages, Esq. ppantages@nphm.com
David A. Herman, Esq. dherman@nphm.com
Nurenberg Paris Heller & McCarthy Co. LPA
Attorneys for Plaintiffs Nicole M. and Ryan Johnson (Case No. CV 18 897507)
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Jack Landskroner, Esq. jack@lgmlegal.com
Paul Grieco, Esq. paul@lgmlegal.com
Thomas Merriman, Esq. tom@lgmlegal.com
Christian R. Patno, Esq. crp@mccarthylebit.com
Colin R. Ray, Esq. crr@mccarthylebit.com
Landskroner Grieco Merriman, LLC; McCarthy Lebit
Attorneys for Kate and Jeremy Plants (Case No. CV 18 894569)
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David M. Paris, Esq. dparis@nphm.com
Pamela Pantages, Esq. ppantages@nphm.com
David A. Herman, Esq. dherman@nphm.com
Nurenberg Paris
Attorneys for Plaintiffs Tiffany and David Sulak (Case No. CV 18 896053)
/s/Rita A. Maimbourg_ _ _ _ _ _ _ _
One of the Attorneys for Defendants
3747217
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madicello@dlcfirm.com; rfdicello@dlcfirm.com; mabramowitz@dlcfirm.com;
jmadden@iustinmaddenlaw.com; sscott@spanglaw.com; bheil@spanglaw.com;
Stephen@finneylawfirm.com; matt@finneylawfirm.com; brucetaubman@taubmanlaw.net;
briantaubman@taubmanlaw.net; j otm@murrayandmurray.com; leslie@murrayandmurray. com;
lfloyd@prwlegal.com; jbooker@prwlegal.com; mfrantzoldham@lawlion.com;
lplakas@lawlion.com; emack@lawlion.com; mklutinotyedwards@lawlion.com;
cparker@rlbllp.com; eric@zagrans.com; steven@smglegal.com; jeffwahl@mindspring.com;
dkaron@karonllc.com; bhollowell@karonllc.com; sep@petersenlegal.com;
tp@petersenlegal.com; jcasey@dlcfirm.com; kabbarno@dlcfirm.com; Dparis@nphm.com;
Ppantages@nphm.com; Dherman@nphm.com; wsresq@aol.com; frank@feplaw.com;
eric@feplaw.com; athompson@shaperoroloff.com; nshapero@shaperoroloff.com;
abotnick@shaperoroloff.com; lbchristman@hotmail.com; pahessler@wegmanlaw.com;
relyons@wegmanlaw.com; paholdsworth@wegmanlaw.com; jcmiller@bmdllc.com;
vlferrise@bmdllc.com; paulvwolf@hotmail.com; ekennedy@weismanlaw.com;
dgoetz@weismanlaw.com; dlansdowne@spanglaw.com; sweaver@spanglaw.com;
michael@gnglawyers.com; kyle@gnglawyers.com; kcrane@kcranelaw.com;
joseph@gnglawyers.com; cbashein@basheinlaw.com; trobenalt@robenaltlaw.com;
jcolan@robenaltlaw.com; tnelson@robenaltlaw.com; jack@lgmlegal.com; paul@lgmlegal.com;
tom@lgmlegal.com; crp@mccarthylebit.com; crr@mccarthylebit.com; jcohen@crklaw.com;
emk@crklaw.com; david@michalski-law.com; mdooley@omdplaw.com;
rgembala@omdplaw.com; brian@balserlaw.com; mshroge@pglawyer.com;
Hector@martinezlawfirm.com; leslie@martinezlawfirm.com; akabat@haberpolk.com;
awolf@prwlegal.com; jpeiffer@prwlegal.com; jhurst@basheinlaw.com; alevitt@dlcfirm.com;
akeller@dlcfirm.com; aprom@dlcfirm.com; ssavett@bm.net; llederer@bm.net;
bpodell@bm.net; jkelley@elkandelk.com; kyoung@elkandelk.com; astevendever@aol.com
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EXHIBIT A
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INFORMED CONSENT - EMBRYO CRYOPRESERVATION
This informed Consent Form is being signed in conjunction with the “Consent to in Vitro Fertilization
(IVF)”, attached. Its purpose is to inform you about embryo cryopreservation (freezing an embryo
which results from IVF) prior to placing the embryo into the uterus in order to increase the likelihood
of establishing a normal pregnancy.
The cryopreservation procedure can be considered if the number of embryos formed exceeds the
number to be transferred during the recipient's IVF treatment cycle. The freezing procedure can be
performed only if the extra embryos are suitable for freezing. Therefore, it is not to be assumed that
having extra embryos indicates that there will be embryos frozen. If embryos are frozen the embryos
will be stored in the in vitro fertilization laboratory in the frozen condition until such time as the
physician responsible for your care determines appropriate conditions exist in the Recipient's body for
transfer of the embryo to the Recipient's uterus and the Recipient desires placement of the embryos in
her uterus. At that time, some or all of the embryos will be thawed. Each embryo will be examined to
determine whether it is medically appropriate to transfer it to the uterus and, if so, the transfer of
embryos will occur. If, after thawing, the embryo does not grow, that embryo will not be transferred.
The success rate with frozen embryos is generally lower than with fresh embryos in the human.
However, this procedure may allow an increased chance of pregnancy without the necessity of surgical
intervention for oocyte recovery.
Embryo freezing has been successfully used in humans since the mid 1980's and the experience with
human embryos indicates no adverse results. It is believed that embryos may be frozen indefinitely,
although the success rate with frozen embryos may decrease with time. At this time, it appears that
offspring resulting from frozen embryos do not have any increased chance for any significant problems
but embryo cryopreservation is still relatively new and there is a possibility of problems that are not yet
apparent.
As with any technique that requires mechanical support systems, equipment failure can occur.
However, back-up freezer systems and/or liquid nitrogen holding facilities are available to decrease the
likelihood of any malfunction; but unforeseen situations could occur which are out of the control of the
IVF Team. In vitro fertilization and embryo cryopreservation and transfer are new areas in which legal
principles and requirements, including those relating to ownership, control, and custody of frozen
embryos, have not been established. Because of the uncertainty in the law, the Recipient and Partner
express, as follows, their directions regarding rights to the frozen embryo(s) in the event of the death of
either both the recipient or partner or the termination of the parties’ marriage or relationship.
In the event that, prior to implantation of the frozen embryo(s), we terminate our marriage
through divorce, dissolution, or annulment, we hereby' agree that
that^qheck
Rebeck oone):
x/" 'mnduRnwOny\&/V
The frozen embryos are the sole property of I ViQffMA H , (Partner
or Recipient), who may dispose of them as she/he see^it.
We relinquish all rights to the embryo(s), and the embryo(s) may be donated to another
person.
The frozen embryos will be destroyed.
In the event that, prior to implantation of the frozen embryos, both Recipient and Partner die,
they hereby agree that (check one):
IF WE ARE UNABLE TO CONTACT YOU AT YOUR LAST ADDRESS, WE WILL KEEP THE
FROZEN EMBRYO(S) FOR AT LEAST THREE YEARS. AFTER THAT, A DECISION
ON DISPOSAL MAY BE MADE IN ACCORDANCE WITH STANDARDS OF THE
AMERICAN ASSOCIATION OF TISSUE BANKS, AS WELL AS ANY APPLICABLE
LOCAL, STATE, AND FEDERAL LAWS. We also understand that after 3 years University
Hospitals has the right to transfer our frozen embryos to an off-sight facility not associated with
the University Hospitals at our expense. We are free to choose an alternate facility to which to
transfer our frozen embryos.
IGNATUREpF RECIPIENT
inn itnM[ TIME
6 * ^
_ _ _ _ y/7/yy
WITNESS y DATE TIME