Free Second Opinion Form

IFC’s free online consultation and second opinion service will guide you to the right solution with the help of our experts without any liabilities and full confidentiality. Our Clinical Directors will review your case and give you an answer within 24 hours.

All you need to do is fill in the form below for us to get an insight about your situation. It will be better for you to provide us with as many details as possible in the comments section so that we can guide you better. Benefits of using this service:

  1. An expert’s opinion will ensure that you are on the right path.
  2. Additional alternatives might be suggested by us which your doctor might not have discussed with you.
  3. Maximize your chances of fulfiling your dream, like many of our other patients have done here. At IFC, we accompany our patients from the first day

 

    Name:
    Your Mobile Number
    Your e-mail
    Country

    General Information of the Couple

    Married Since

    How long have you been trying to get pregnant?

    Reason for Infertility (Why do you think you are not getting pregnant?)

    If others, please describe what may be affecting your fertility
    Have you undergone any Infertility Treatment
    YesNo
    If Yes, what treatment
    Have you had any miscarriages?
    YesNo
    Age of Female Partner
    Your Message
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