Here you find the forms required for your appointment. The downloaded forms can also be filled in on the computer using the free Adobe Acrobat Reader software.
Please send the completed forms, with signatures on the appointment confirmation, prior to your first appointment either via regular mail to:
MVZ Fertility Center Hamburg GmbH
Servicebüro
Speersort 4
20095 Hamburg
or via e-mail to: fch-service@amedes-group.com
For Women and Couples:
For Andrology Counselling:
If you have stored testicular biopsies, cryosperm or unfertilized oocytes with us and would like to terminate the cryopreservation contract at the next possible date (i.e. that the cryopreserved material will be discarded at the end of the contract), please use this form:
If you have stored fertilized eggs (PN's), embryos or donor sperm with us and would like to terminate the cryopreservation contract at the next possible date (i.e. that the cryopreserved material will be discarded after the contract expires), please use this form:
If you have become pregnant as a result of treatment with us, please do the following:
Wenn Sie durch eine Behandlung bei uns schwanger geworden sind, bitten Sie Ihren behandelnden Arzt, uns den Entbindungsbericht aus dem Krankenhaus zuzusenden. Außerdem füllen Sie bitte das Formular "Geburtsbericht" aus und senden es dem Servicebüro zu: