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Questionnaire – Application Single Motherhood

Do you wish to start fertility treatment as a single woman? If so, please complete this questionnaire in full.
You can return the completed and signed form to us by mail at info@brusselsivf.be.

Based on the information you provide, our team of psychologists will decide whether to invite you for an exploratory interview.
In case of a negative decision, we will inform you in writing.

If the questionnaire is fully completed or returned to us, we will not be able to process your application.

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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.