Request a laboratory referral

We are here for you.

Would you like to have your hormone levels or other parameters determined by blood test and need a referral? Simply fill out the form below and we will send it to you immediately by email.

Important note on data protection:

By submitting this form, you consent to the data you provide being stored in our system. In addition, by requesting a laboratory referral, you agree that the findings will be sent to our "Kinderwunschzentrum an der Wien" after completion.


Request form - laboratory referral

Fields marked with * are mandatory fields.