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Interview Sheets

If you are a first-time visitor, please fill out the "Clinical Application Form" and "Comprehensive Questionnaire" and the questionnaire for the department you are going to see, and bring it with you when you come to the hospital.

Medical Application Form

Comprehensive Questionnaire

For those receiving IVF/Fertility Treatment:

Infertility Questionnaire

For those undergoing male infertility treatment:

Male infertility questionnaire

IVF Documents

Documents for extending storage of frozen oocytes, frozen sperm, and frozen embryos

Embryo freezing extension consent form

Sperm freezing extension consent form

Oocyte freezing extension consent form

Documents for freezing oocytes

Documents for extension of storage of frozen oocytes, embryos, and sperm

Oocyte freezing extension consent form

Pill Online®

Gynecological Questionnaire

For patients who want low-dose pills

Low-dose oral contraceptive check sheet