Contact Us

Please submit this form if you would like additional information about the ART Fertility Program. If you would like specific information please do not hesitate to request it. We look forward to hearing from you.

Please double check your e-mail address and phone number for accuracy.

Please call our scheduling department at 205-803-1960 or 1-800-338-0758 to confirm or cancel an appointment.

Should you desire to speak to a nurse regarding your care or treatment, please call our nurse message center at 205-803-1900 or 1-800-264-0107. Should you desire to speak to your doctors, please call scheduling for an appointment in person or by videoconference. Certain telephone consultation appointments may be made for specific situations by the physician’s approval.

IMPORTANT: Please do not use this contact form or e-mail as your communications to confirm/cancel appointments or ask questions specific to your current care/treatment.

First Name: *

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Last Name: *

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Street Address: *

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State: *

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Zip: *

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Telephone: *

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Email: *

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Your Gender:

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Your Age:

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Partner's Age:

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Are you currently: select...Researching InfertilityUndergoing Infertility by OB/GYNCurrently seeing Reproductive EndocrinologistSuspect InfertilityNone of the Above

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Which office is most convenient for you: select...BirminghamHuntsvilleMontgomeryTuscaloosa

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How did you find our Program: select...PhysicianPrint AdRadioBillboardFriend/FamilyYellow PagesHealth Fair/ShowSeminarTelevisionSearch EngineOther

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If referred by a Physician, please list Physician’s name:

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How would you like to be contacted: * select...TelephoneEmail

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