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Questionnaire – Application Surrogacy

Prospective parents wishing to initiate a treatment through surrogacy should complete the attached questionnaire to complete their application.
May we kindly ask you to complete the questionnaire in full and return the signed form to info@brusselsivf.be.

The application and information from the questionnaire will be discussed by the multidisciplinary team responsible for surrogacy at UZ Brussel (composed of a fertility doctor, obstetrician, psychologist and 2 midwives).

If the request for treatment were not to be accepted, you will be informed.
If it was decided within the team to carry out more extensive screening, you will be contacted to record the necessary consultations.


UPDATE 05/01/2024: Renovation works Brussels IVF

To increase the comfort and privacy of its patients, Brussels IVF is renovating its nursing unit (VP03) and the reception desk area at our Andrology Lab.

As part of these renovation works, from 8 January 2024, the reception desk of our Andrology Laboratory and its associated rooms to collect a sperm sample, will be temporarily located on the second floor of Brussels IVF (via route 980).

During your treatment, we guarantee the same quality of care but you might experience a reduced level of comfort due to the temporary location with limited space.
We will make every effort to minimise any inconvenience.

Consult the practical guidelines and the FAQ on the renovation works.