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The electronic journal

If you would like to receive treatment, please complete the electronic journal.

If you would like to receive treatment in the clinic, please complete our electronic journal. 



The information that you provide for our fertility doctors in the electronic journal is important and enables us to be as prepared as possible for the initial consultation. Therefore, please take your time when completing the journal, so that the information we receive will form the basis of the consultation.


If you are unsure about anything when completing the journal and you don’t know the answer to a question, don’t let that stop you. Complete our electronic journal to the best of your ability and with the knowledge you have.


If you have not already been in contact with us by phone or email, please contact us again when you have submitted the completed journal. Then we can arrange a time for the consultation and let you know about the test results that we also require before the consultation.


Please fill in the electronic journal by using "Google Chrome" or "Explorer" from a computer (not a mobile phone).


We look forward to hearing from you.



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