Requirements

• Female hormone profile on the third day of the cycle
• HIV
• Hepatitis B & C
• Clinical History
• Hysterosalpingography
• Anti-Mullerian Hormone (AMH)
• Hydrosonography
• Determination of Chlamydia trachomatis, Mycoplasma and Ureaplasma

* Please submit a copy of all the results of the studies.

• Sperm Sample
• HIV
• Hepatitis B & C

• Copy of the Marriage Certificate
• Copy of photo ID’s
• Signed letter of informed consent

1. Once the requirements have been met and the cost of the package paid, we will schedule a date and will begin the procedures.
2. It is necessary to attach the report of the results of all the requested studies.
3. It is important to emphasize that NOT all previously requested studies are included in the quotation given for the procedures. (Please ask for the corresponding
   information and we will be glad to assist you.)
4. In addition to the studies, patients must submit the necessary administrative documentation in order to be registered.
5. The Clinical History and Informed Consent forms may be downloaded in the information for patients.
6. The cost of the procedure has been structured as a package. Please ask for more information from the Clinic.

• Use of the operating room
• Nurse service
• Anesthesiologist
• Embryologist
• Doctor’s fees
• Assistant
• Follow-up of ovarian stimulation
• Monitoring of Ovulation
• Lab tests (3)
• Follicular aspiration
• Preparation of a sperm sample
• ICSI (if necessary)
• Embryo transfer
• Post-procedural follow-up
• Psychological support

• The package must be paid in full before the procedures begin.
• We kindly ask our patients to pay 50% of the cost of the package in cash and the remaining 50% in any form of payment.
• When patients are ready to make the payment, they must inform the Clinic’s Coordinator so that they might receive the necessary assistance to prevent any problems in the administrative procedure regarding registration of the payment of the Assisted Reproduction Package.
• In addition to paying for the package, patients must provide enough funds to pay for additional charges, in accordance with Hospital policies. When the account is closed, any surplus money will be reimbursed to the patients after all charges have been paid for.
• The invoice will be issued at the end of all the procedures. Patients will receive a temporary receipt from the Hospital as evidence of the payment made for the package.