Thank you for referring your patients to the Fertility Center of Dallas. We want to make their transition (and your facilitation of that process) as smooth and easy as possible. Hopefully, these streamlined efforts will make it just as easy and stress-free when we’re ready to transfer your patient back to you in the midst of a healthy, thriving pregnancy!
We’re attaching a copy of our Patient Referral Form below. Please fill it out completely and have the patient return it in person or via fax (214-887-8244). Any and all forms can also be scanned and attached via email including the patient’s full name to XXXXXX.
If requested please help patients complete the following forms:
• Semen Analysis Requisition Form
• Hysterosalpingogram Requisition Form
Again, we thank you for trusting your loyal patient into our care. Our goal is always to provide innovative, personalized fertility treatment and we look forward to returning your patient to you for obstetrical care and the delivery of her healthy baby.
Feel free to contact the Fertility Center of Dallas with any questions or concerns at 214-823-2692.