Result of pregnancy

You have been under treatment with us. We are very curious about the outcome and, of course, hope that you have received good news.

Why do we need this information?

We consider it important to measure, evaluate, and report the results of our treatments. To accurately assess the outcome of the treatment, we ask you to complete the form below.

Full name: *

Date of birth (intended mother): *

Select your clinic *

Pregnant: *

Did you have your pregnancy ultrasound elsewhere? *

Date of the ultrasound *

Results of the ultrasound? *

Number of heart actions *

Schedule a pregnancy ultrasound at Nij Clinics?

You can contact our clinic to schedule an ultrasound.

Extra support

If, as a result of this message, you feel the need for additional support, please contact us. We are ready to help you.