Talk To Doctor

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Name
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Tel*
Email*
Convenient days and times of contact*
DD slash MM slash YYYY
Duration*
- Before noon
- Before 3 pm
- Before 5 pm
Have you ever been a patient at V Fertility Center ?*
- Yes
- No
What province are you living in?*
Consultation Details
Please add as many details as possible about your medical condition and past medical history. This will help our physicians in giving you a more precise and accurate evaluation.
Your medical inquiry details*
Medical History ( If has )
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