Growing Families is a not for profit organisation that provides education and consulting to people around the world. Consultations draw on 10 years of experience, feedback from hundreds of parents and intimate knowledge of provider strengths and weaknesses. We can provide the latest updates on emerging programs, eligibility, embryo & sperm shipping, paperwork requirements, timelines and realistic costs. Please fill this consultation enquiry form to know more about your background for a customised consultation.
The Person completing this form Gender MaleFemaleOther Date of birth Pre-existing medical conditions EndometriosisKidney DiseaseMRKHUnexplained infertilityReproductive lossHigh risk past pregnanciesHysterectomyAsherman's SyndromeAuto-immune disorderMedical treatment for cancerHypertensionDeformation of uterine cavity or cervixHIV+NilOther Marital Status ---Male - Single / divorced / separatedFemale - Single / divorced/ separatedSame sex male couple - Married / De-factoSame sex female couple - Married / De-factoHetero couple - marriedHetero couple - unmarried / De-facto
Singles need not complete this section Gender MaleFemaleOther Date of birth Is Residential Address of Person Two the same as Person One ? YesNo EndometriosisKidney DiseaseMRKHUnexplained infertilityReproductive lossHigh risk past pregnanciesHysterectomyAsherman's SyndromeAuto-immune disorderMedical treatment for cancerHypertensionDeformation of uterine cavity or cervixHIV+NilOther
Please answer the following questions to enable us to provide the support / next steps you need. When would you like to have a child? ---Within a yearWithin 2 years from nowWithin 3 years from nowMore than 3 years from now Do you require an Egg Donor? ---Yes - already have oneYes - but don't have oneNoUnsure Do you require a Sperm Donor? ---Yes - already have oneYes - but don't have oneNoUnsure Do you require a Surrogate? ---Yes - already have oneYes - but don't have oneNoUnsure Do you have Embryos? ---YesNo If applicable, how many embryos are there and where are these being held? (Clinic name & location) Which of the following best describes your household income (note please include both Person One and Person Two) ---< $40 000$40 001 - $59 999$60 000 - $79 999$80 000 - $99 999$100 000 - $119 999$120 000 - $139 000$140 000 - $159 999$160 000 - $179 999$180 000 + Which of the following applies to you ? I have a specific question I need answeredI’d like a 15 minute phone discussion upfrontI know which country I am engaging in and just need an introduction to reputable providersI am new to this and need full concierge supportI want to learn about costs / timeframes / legal issues / logistics / paperwork / eligibility options before I make a decisionI need help with shipping embryos / eggs / sperm How did you hear about us?Social Media (Facebook, Twitter)GoogleFriendsAdvertiseOthers
Back
© 2021 Growing Families | All Rights Reserved | Site Design by OnlineConsulting.com.au
