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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.