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Braine-l’Alleud site

Rue Wayez, 35
1420 Braine l'Alleud
Belgium

{"type":"Point","coordinates":[4.366384,50.68506]}
EMERGENCY : 02 434 93 21
Delta site

Boulevard du Triomphe, 201
1160 Bruxelles
Belgium

{"type":"Point","coordinates":[4.39894,50.816396]}
EMERGENCY : 02 434 88 00
Ste-Anne St-Remi site

Boulevard Jules Graindor, 66
1070 Bruxelles
Belgium

{"type":"Point","coordinates":[4.316749,50.844624]}
EMERGENCY : 02 434 30 63

If you need immediate medical, fire or police assistance, please dial 112.

DIALL 112

PMA - Cycle entry form

Please fill in the form to notify us of your entry into the cycle.

The secretariat will contact you within 3 hours of your request.

Please remain available by telephone.

Please note: If you send your cycle entry form at the weekend, it will be processed on the following Monday.

Patient contact details
Dans quel Centre de PMA êtes-vous suivie ?*
Your treatment*
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