To book your My Fertility Check appointment send us a message:

Questionnaire

Prior to attending your appointment you will be required to complete a questionnaire about your medical background and history. If you wish to complete the questionnaire now please click on the link below. Alternatively, we will email the questionnaire in advance of your appointment.

Female Fertility Questionnaire Male Fertility Questionnaire

E:

T: 0818 252 888

CORK FERTILITY

Lotamore House, Tivoli, Cork, T23 N4A7

DUBLIN FERTILITY

39 Lower Leeson Street, Dublin 2, D02 TX90

LIMERICK FERTILITY

First Floor, Park Manor, Upper Mallow Street, Limerick, V94 CPR8

WATERFORD FERTILITY

Suite 7, Wallace House, Maritana Gate, Canada Street, Waterford, X91 PP2R