Please have the following form completed by your doctor and send it to us by email before your appointment or bring it with you to your first appointment.
Important information:
The form enables us to claim the cost of the consultation and blood test from your health insurance company. Once the diagnosis has been confirmed, we also require a histological report in order to be able to claim the costs of freezing and the six-monthly storage fee from your health insurance company.
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Fill out from the comfort of your own home