, IVF and Egg donation

IVF and Egg donation

I hereby give consent to the processing of my personal data and I hereby declare that I have provided complete and truthful information in this questionnaire. I am aware of the fact that the clinic cannot be held responsible for the damages caused by incomplete or inaccurate information provided by others.

Personal data

Female

Male

Contact details

Phenotype information

Female

Male

Anamnesis – Female

Family

General Health

Gynaecological History

Infertility History

Anamnesis – Male

Family

General Health