Schedule Appointment

The first step in overcoming infertility is to schedule an appointment with our physician. The first appointment will be an important one and both partners are encouraged to attend.

The initial consultation takes about an hour. For our out-of-state and international patients, we offer an initial consultation via phone.

We offer 2 options for scheduling:

  1. Please call our office at 937.458.5084 to schedule your initial consultation.
  2. Please fill out the form below and submit it. You will contacted shortly to schedule your initial consultation.

Your Name (required)

Your Email (required)

Address (required)

Phone (required)

Are you married, single, or do you have a partner?
 Married Single Partner

Partner's name

Are you planning on sending any medical records before the appointment?
 Yes No

Do you have current health insurance?
 Yes No

If you have insurance, who is the provider?

How did you hear about us?

Please tell us more about the treatment you are seeking.

Please tell us what time of the day you would prefer your appointment to be.