Seattle Reproductive Symposium
Friday and Saturday, May 15-16, 2020
The Sheraton Grand Seattle
(This is a CME event for medical professionals only)
When to Refer
Most infertility concerns are resolved with conservative interventions such as clomid, insemination, or surgery. Referral to a fertility specialist is recommended when:
• Female is age 38 or older.
• Inability to conceive within 6-12 months of discontinuing contraception.
• Blocked fallopian tubes.
• Other tubal problems such as more than one tubal ectopic pregnancy.
• Moderate or severe endometriosis.
• Significant male factor – sperm concentration less than 10 million per ml, or motility less than 40%.
• Ovulation problems such as polycystic ovarian syndrome, (PCOS) treated with 3 to 6 months of clomid without conception.
• Abnormal ovarian reserve tests, such as elevated day 3 FSH level or AMH less than one.
Referrals can also be sent to SRM for: Egg Freezing, Fertility Assessment, Antral Follicle Count (AFC) Ultrasound, Fertility Preservation for Medical Reasons
SRM Referral Form – Download, Print and Fax
Use the SRM Referral Services Pad (.pdf) to refer your patients to SRM for Andrology Diagnostic Services (Semen Analysis and IUI), Hystersalpingogram Services (HSG) and General Infertility, Fertility Preservation or Egg Freezing Services. Please fill out the appropriate sections and fax the referral form to 206-301-5679. The original referral form is given to your patient. Additional referral forms can be requested by calling 206-301-5000 or toll free at 877-777-6002 or email email@example.com.
HOW TO REFER FOR FERTILITY TREATMENT
For fertility concerns as described above, your patient can call SRM for their initial intake at 206-301-5000 or toll free at 877-777-6002. Appropriate medical records can be requested and faxed to: 206-301-5679.
REFERRING FOR HSG’S
We request a written referral be sent to SRM prior to the patient scheduling an appointment for an HSG. All information in the HSG section of the referral form needs to be filled out. Checkmark “Please perform an HSG on my patient.” Referrals are faxed to SRM and the original is given to your patient. HSG’s are performed by a physician or nurse practitioner. Results of HSG’s are provided to the referring doctor typically within 7-10 business days.
REFERRING FOR SEMEN ANALYSIS
We request a written referral be sent to SRM prior to the patient scheduling an appointment for a Semen Analysis. All information in the Andrology section of the referral form needs to be filled out. Male patient’s name is required. Check mark “Semen Analysis” for referral. Referrals are faxed to SRM and the original is given to your patient. SA’s are available at ALL locations. A short phone consultation will take place with your patient 2-3 days after their appointment with one of our ARNP’s to go over the results and next steps. This information will then be sent to you. For abnormal tests we recommend a second test.
For SRM Marketing Materials
To request additional SRM referral pads, business cards, brochures, etc., please call 206-301-5000 or toll free at 877-777-6002 or email firstname.lastname@example.org.
Additionally, you can contact your Physician Liaison directly based on your location:
Western Washington, Bellevue, Kirkland, Redmond, North Puget Sound, Bellingham
Marcie Guthrie – email@example.com or 206*301*5681
Western Washington, Downtown and South Seattle, Issaquah, South Puget Sound, Olympic Peninsula, Alaska and Oncology
Sarah Thompson – firstname.lastname@example.org or 206*301*5031
Eastern Washington, Idaho and Montana
Tracy Love – email@example.com or 509*795*4224