If you are having trouble conceiving a child, you may be considering various options, including using a surrogate, adoption, or seeking the help of an infertility service. Because this can be a very emotional and stressful time of your life, you may find it difficult to make rational and reasoned choices, and it's sad to say, but some services may take advantage of your vulnerability. If you are considering infertility treatment, you may wish to take this form with you to your initial appointment to determine whether treatment by a particular service provider is in your best interests.

How long have you been in business? __________________________

How many patients have you treated? __________________________

Are you/your doctors board-certified?

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In what specialties and/or subspecialties?

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What is your overall success rate?

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How is your success rate calculated?

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Do you have written materials about your practice and procedures that we can review?

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In view of our medical history, are there particular procedures that you recommend?

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How much experience do you have performing these procedures?

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How much do these procedures usually cost? _________________________________

How much do the required drugs cost? _______________________________________

What portion of these costs is generally covered by our insurance company?

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How must payment for any uncovered expenses be made?

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What is your success rate for couples experiencing the same problems as ours or undergoing the same treatments?

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What is our overall chance of conceiving a child?

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Do you have patients or former patients who would be willing to talk to us about your services?

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Other questions:

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Notes:

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