Provider Referral Form
If you are a provider (or inquiring on behalf of a provider's office) and would like to contact us, refer a patient, request materials, request a lunch and learn, or if you simply have a question for one of our physicians - please complete the form below.
You may also call our Front Desk at 206-515-0000 and they will be happy to direct your question to the most appropriate staff member. For all Andrology Lab related questions, you may call the lab directly at 206-515-0002 or fax your Andrology Order Forms to 206-515-0003.
We have worked with, and been patients at, 5 fertility clinics and this clinic is far and above the best experience we have had. Kind, talented, flexible staff. We don't feel like a number. Wish we had started out with you.