Semen Analysis Requisition Form
To Order a Semen Analysis:
- Please complete and fax the Semen Analysis Requisition Form to our office (972-506-0044).
- The patient needs to call our office (972-506-9986) to confirm the appointment for the semen analysis.
- A 3-4 days period of abstinence is recommended before semen collection.
To Order a HSG:
- Please complete and fax the HSG Requisition Form to our office (972-506-0044).
- Please have your patient call our clinic (972-506-9986) to confirm the appointment for the HSG.
- It’s best to schedule the HSG between the 7th to10th day of the cycle.
- Please prescribe for your patient antibiotic prophylaxis for the test.
We appreciate your referrals!
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