Make an appointment for consultations.
MAR - Contact form
If you would like more information about your particular case, you can fill in the contact form below.
Our MAR centre will answer you as soon as possible.
At which e-mail address can we reach you?*
What is your gender?*
How old are you?*
Are you affiliated with a Belgian mutual insurance company?*
Would you like to carry out a fertility treatment with your partner?*
If so, with a man or a woman?
How old is he/she?
Are you currently being treated on our Centre (Chirec)?*
What language do you speak?*
Would you like more information about sperm donation?
If yes, with an anonymous or known donor?
Would you like more information about oocyte donation?
Would like more information about:
Oocyte freezing (Social freezing)
A co-parenting project
You can only choose 4 optionss.
Other: please specify
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