Tubal Reversal Registration Online

Register for Your Tubal Reversal Online

To get started on your exciting journey, you can start with our online tubal reversal registration forms. With a click of the mouse, you can quickly download the form that helps Dr. Rosenfeld and the office staff learn more about you including your health history. It is really simple to fill out and submit.

There is also a handy tubal ligation operative report request form for you to fill out to send to the surgeon who tied your tubes. Be sure to get started on that as it may take some time for the records to be forwarded to Dr. Rosenfeld. Once the tubal ligation operative report is received, then you are ready for your initial appointment!

We look forward to meeting you!

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