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For Referring Physicians

To help you evaluate your patients with a hysterosalpingogram and/or semen analysis, please have them complete the corresponding form (included below):

Hysterosalpingogram Requisition

Semen Analysis Requisition Form

For patient referrals for infertility work-up and treatment, please print the Patient Referral form below, which can be either faxed to our Frisco office or brought with the patient at his/her initial visit. We are accepting new patients at the Frisco, Dallas and Southlake locations.

Patient Referral Form

We are pleased you have decided to enable Fertility Specialists of Texas to partner with you in the care of your patient. We will provide a customized treatment plan for your patient and hope to send them back with a pregnancy soon for continued obstetrical care.

Do you need more FST business cards or brochures for your office? I’m happy to help get you the materials you need.



Physician Liaison

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