6 Waterfront Place, Robina, Qld 4226
(07) 5667 7711
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Fertility Services
Fertility Assessment
Male Fertility Assessment
Oocyte Freezing
Donor Services
In-Vitro Fertilisation (IVF)
Ovulation Induction
Intrauterine Insemination
Gynaecology
Endometriosis
Hormonal IUD
Polycystic Ovaries and Health
Cervical Screening and Colposcopy
Menopause Therapy and Management
Articles
About
Contact
Menu
Home
Fertility Services
Fertility Assessment
Male Fertility Assessment
Oocyte Freezing
Donor Services
In-Vitro Fertilisation (IVF)
Ovulation Induction
Intrauterine Insemination
Gynaecology
Endometriosis
Hormonal IUD
Polycystic Ovaries and Health
Cervical Screening and Colposcopy
Menopause Therapy and Management
Articles
About
Contact
Fertility Questionnaire
Please complete our fertility questionnaire before your appointment
General Medical History
Do you have or had any of the following
Diabetes
No
Type 1
Type 2
Not sure
Managed By (eg Diet, tablets, Insulin - dose)
Thyroid problems
No
Yes
Not sure
Details including any medications
High Blood Pressure
No
Yes
Not sure
Details including any medications
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(07) 5667 7711
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