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Fertility Clinic of Cambodia

Fertility Clinic of Cambodia

Gynecology, obstetrics and fertility treatments

  • Home
  • About Us
    • Messages from the Management
    • Vision, Mission and Philosophy
    • Principles of Medical Ethics
    • Management And Staff
    • Facilities
    • Success Rates at FCC
  • Treatment and Care
    • Fee
    • Infertility Treatment Aprroaches
    • Intra-Uterine Insemination
    • In Vitro Fertilization
    • Intra-Cytoplasmic Sperm Injection
    • Fertility Preservation
    • Family Balancing
    • Test
    • Gynecology and Obstetrics
  • Job Opportunity
  • Media Center
    • News
    • Success Stories
    • Causes of Infertility
      • General Information
      • Causes of Male Infertility
      • Causes of Female Infertility
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  • Contact Us
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  • ភាសាខ្មែរ

Forms and Instructions

Before we can make your first appointment, you must complete our new patient forms.  The Patient Registration form, New Patient Questionnaire, and Medical Records Release Form will provide us with the information we need to assist you appropriately.  All these forms should be completed and sent to their appropriate destinations prior to your first visit.

Whether you are a local, national, or international patient, you can find the registration forms online. Complete each form and e-mail these forms to info@fertilityclinic.com.kh or bring the print copies during your appointment.

  1. Patient Registration: Your name, contact information, insurance information, referral information, and an authorization for insurance and payment. Download Form
  2. New Patient Questionnaire: Answer a series of questions about your medical and family health history and include results from previous blood and infertility tests. Download Form

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Assistance for ONLY legal married couples

FCC, formerly known as Sok Teang Cabinet, offers fertility assistance to ONLY legal married couples and women’s health in Cambodia.

As the fertility, gynecology and obstetrics services provider in Cambodia, our highly-specialized and multidisciplinary team aims at offering exceptional patient-centered care for individuals and couples in all aspects of fertility treatment and women’s health.

Office Hours

Monday – Saturday
8:00am-12:00pm & 1:30pm – 6:00pm

Sundays and FCC Holidays Availability
8:00am-12:00 (Appointment ONLY)

BOOK APPOINTMENT NOW

Where to find us

31 Samdach Preah Sokun Meanbon St. (178), Phnom Penh 12207, Cambodia (see map)

Keep in touch

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