Thank you for taking your time to complete this form about the outcome of your treatment.
We guarantee complete confidentiality. No identifying information will be released. This report will only be used to record children born from a particular donor, and to track for the purpose of birth limits.
Please return to this form again and keep us updated about any outcome of your treatment and pregnancy. Please report the following:
If you have any questions or need help to fill in the form, please don’t hesitate to call us at +45 20 55 65 95 or send an e-mail to firstname.lastname@example.org
Please provide the following information: