New Patient Appointments

Yes, I consent to receiving texts for the purposes of receiving upcoming appointment request messages and patient reminders from HRC Fertility. Text messaging rates may apply.

Yes, please send me more information about your LGBTQ+ programs and resources.

(Select all that apply. INVOCELL only available at specific locations.)

I accept the Privacy Policy

Electronic and Marketing Communications Consent *

The Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) sets standards for protecting the rights of patients. To comply with HIPAA regulations, correspondence that contains protected health information (“PHI”) should be sent by encrypted (secured) systems.

It is very important you are aware that unsecured e-mail, customer relations management platforms, text messages, e-fax, online chats, virtual online meetings, third-party communications software/applications, and other forms of unsecured electronic communication (“e- communication”), even when understood to be secure, can sometimes be accessed relatively easily by unauthorized persons and hence, can compromise the privacy and confidentiality of such communications. Unsecured e-communication may also be vulnerable to such unauthorized access since servers or communication companies may have unlimited and direct access to all e-communication that goes through them. It is also always possible that unsecured e-communications can be inadvertently sent or received to the wrong address and computer. E-communication on your computer, your laptop, tablet device, phone or other devices also has inherent privacy risks – especially when your e-communication access is provided through your employer or when access to your e-communication is not password protected. By completing and submitting this form, you understand the e-communications risks identified herein and willingly provide your contact information through this platform. You also agree to opt-in and authorize HRC Fertility to retain, maintain, and use your contact information to contact you and market to you their services, promotions, and related communications, including by using your name, email address, and phone number that you provide. You further understand that you may opt-out of receiving marketing communications from HRC Fertility at any time by contacting HRC Fertility in writing at the address listed in the aforementioned Privacy Policy, or by email at or at marketing@havingbabies.com.