Consult Request with Immune Testing Registration

Many patients will come to our center and wish to have testing performed before their consultation. This allows our center to conduct a more complete consultation at the time of a patient's initial exam due to the time required for immunological testing to be ordered and results to be received and analyzed by our medical team.

For patients that cannot come to our center and work directly with us, we can collaborate with your local physician. We will contact your doctor and organize the testing necessary in order to further define possible underlying immunological conditions you may have.

New Patient Registration (Domestic Patients)

For our international patients that cannot come to our center and work directly with us, we can coordinate your care directly with you. We will organize the testing necessary in order to further define possible underlying immunological conditions you may have. This form needs to be completely filled out. Any missing information will delay the organization for your testing.

New Patient Registration (International Patients)

Your forms can be sent via email to our office at finance@reproductiveimmunology.com or faxed to (516) 584-8711.