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Please call 801-878-8888 or email info@InfertilityDr.com to schedule a new patient appointment then follow the instructions below.
We would like to take this opportunity to welcome you to
our practice and acquaint you with our office procedures.
In order for us to efficiently and cost effectively help you in
your infertility evaluation and treatment, we request for
detailed information that will allow us to understand your
particular needs and be better prepared for your visit.
Please input your information into our secure patient
portal at least 3 days prior to your initial appointment.
You may access the patient portal by obtaining a user ID
and password from our receptionists. You will need a separate
user ID and password for the husband and the wife in order to
enter and obtain information in both records.
Once in the patient portal we ask that you:
1.
Complete the
patient registration and
medical history forms.
2.
Please see below for
patient portal instructions
If you have consulted with other physicians or practices
regarding your infertility, please
request that copies of
your records from each physician be sent in advance.
1.
For the wife, specifically
request reports for any previously completed hormonal testing
(such as Prolactin, TSH, day 3 FSH, day 3 estradiol, day 10 FSH,
testosterone, DHEAS, fasting glucose, 2 hour glucose or fasting
insulin levels), Clomiphene Citrate Challenge test (CCCT), a
saline sonogram (hysterosonogram) with pictures,
hysterosalpingogram (HSG) with the actual x-ray films, prior
obstetrical records, immunization records specifically for
rubella (German Measles) and varicella (Chickenpox),
laparoscopic or hysteroscopic surgery, and any pelvic surgery.
X-ray films (many are now digital on a CD) should be obtained
from the radiology department where they were performed.
Operative reports may need to be obtained from the hospital but
are usually available from the physician’s office. Records
regarding any treatment such as clomiphene citrate, letrozole,
gonadotropin (FSH) injections, intrauterine insemination (IUI)
or in vitro fertilization (IVF) should also be obtained. Please
be aware that records need to be requested from each
physician/clinic that you have seen (physicians cannot forward
records that they have received for review from other physicians
or clinics) and need to be requested specifically for both the
husband and the wife (usually require separate consent forms and
requests).
2.
For the husband, please include
copies of semen analysis reports, insemination preparation reports, urologic examinations, scrotal ultrasounds, any
hormone testing (such as testosterone, prolactin, TSH and FSH)
and any pertinent reproductive surgery (hernia repair,
vasectomy, vasectomy reversal, etc).
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Our office in Sandy is open from 8:00 am to 5:00 pm, Monday through
Friday for appointments. New consultations are also available at
7 am and on Saturdays if needed. Weekend care is provided for
treatment procedures.
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Photo ID will be requested at initial appointment in order to
comply with Red Flag Rules
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No lab work or other procedure is included in the basic charge for
the initial consultation.
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We are located at 10150 S. Petunia Way (10150 S 1405 E). We are
directly south of the Sandy City Library. There is abundant
parking and easy access.
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Completing the registration form, patient portal questions and
obtaining all pertinent medical records in advance will allow
our physicians to review your records prior to your arrival.
This will enable us to provide the best advice possible for your
particular medical situation during your initial consultation.
If the registration form and all pertinent medical records are
not received at least 3 days prior to your appointment, we
recommend that you reschedule.
·
If you are unable to make your scheduled initial appointment we
require a minimum of 72 hours notice or a $75 charge will be
assessed.
·
Payment is expected at the time services are rendered. If you have
insurance benefit we will be glad to bill your insurance.
PATIENT
PORTAL INSTRUCTIONS
At Reproductive Care Center we
attempt to make communication as simple as possible for you.
You may have test results, which you would like to know
or you may be in a treatment cycle and need results of daily
tests and instructions.
Therefore, we are implementing a system whereby you can
access some of your
results and instructions from any computer at a time that is
convenient for you via our secure Patient Portal.
You can view your future appointments, request simple
changes to your demographic information, and request information
via questions to our staff. Below are instructions for accessing
your information.
The front office staff will give you a username and assign a
password so only you and your spouse can access this private
information. You may change your password once you have
successfully logged in for the first time. Please let us know if
you have any questions or concerns.
For our new patients:
It is very important that you complete the health
questionnaires, for both the husband and the wife, and
demographic information contained in the Patient Portal.
You will enter the patient portal via our clinic’s
website. You will
need a separate user ID and password for the husband and the
wife in order to enter and obtain information in both records.
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Click on
https://secure.fertilitydr.com/patient/
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Once the login appears, enter the username and
password you were given then select login.
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Once you have successfully logged in, a Terms
of Use agreement will appear.
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Read through this and choose either agree or I
don’t agree. If you do not agree you will not be able to use
this portal.
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After you have agreed, the next page is a
basic demographics page. Changes are submitted to the
administrative staff and will not be reflected immediately.
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Complete all of the Demographic Information
(click "next" at the end of each page to move forward).
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After completing the Demographic Information,
click on "Questionnaire" on the Patient Appointments page.
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Next click on "Patient Evaluation" and
complete all of the questions regarding your medical history
contained therein (click "next" at the end of each page to
move forward).
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Click on "Profile" and complete all of the
information therein including your insurance information
(click on the dark blue tabs for each section).
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All options available to you are listed on the
left side. The degree of access to your medical record will
be determined by the clinic.
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Please be sure to complete the information for
both partners via a separate "Log on" with a different User
ID and Password for each.
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When finished, click on "Log off"
We look forward to helping you achieve your fertility goals.
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