生殖需求 (多选)
*
必填字段
可提供的检查报告(多选)和上传
*
必填字段
IVF治疗史(第几次IVF,日期和年龄,国家/诊所/医生名称,AMH值/FSH值/LH值/基础卵泡数量,取出/成熟/受精/囊胚/和筛查过PGT-A个数;如没有IVF治疗史,则填“无” )
*
历史医疗(生育史/手术史/疾病等名称,日期,症状描述,1年内服用的药物和剂量)
*
二. IVF患者资料(如果夫妻做试管,则填写女方信息)
美国签证
*
必填字段
{"height":"0","width":"0","background-color":"transparent","background-image":"none","background-position":"50% 50%","background-repeat":"no-repeat","background-gradient-top":"none","background-gradient-bottom":"none","background-scroll":"none","background-size":"auto","themeColorName":"","margin-top":"1","margin-left":"0","margin-right":"0","margin-bottom":"0"}