Curriculum Vitae
Clinical Interests
Work location
Infertility - Sterility
Basic Tests
Treatments
Sperm donation
Oocyte donation
Questions & Answers
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How to Contact Us
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Personal Data

 
 
Last Name
First Name
Age
Address
City
Province / State
Country
E-mail
Phone
Fax
 
 
Marital Status  
How long have you been trying to have a baby?  
 
 

Clinical Data

 
 
1) Tests performed
Hormonal, Hysterosalpingography/ies, Ultrasounds, Semen Analysis, other.
Dates and Results
2) Treatments undergone
     Stimulations, Inseminations, IVF, ICSI, Surgeries, other.
Dates and Results tados
3) Reasons for consultation