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I understand this is a request form to become a new patient at Fora Fertility. A team member from Fora will be contacting me to establish care. If I live out of state, I understand that Fora Fertility only sees patients who are willing and able to travel to Austin, TX for IVF. We do not provide treatment recommendations for other physicians to follow. We do not see patients for hormonal or endocrine issues who are not trying to conceive or actively interested in fertility preservation. Please mark "YES" to confirm you understand that Fora Fertility only sees fertility patients.

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