Thank you so much for sharing your fertility story! Your form has been received.
There’s one more step…
So that we may release your story on our site and social media please complete our HIPAA/PHI release form.
After reviewing the above release form please print and sign. You are welcome to scan and return your form via email to our office manager Michael Garde firstname.lastname@example.org.
You are also welcome to mail your release to:
Nashville Fertility Center
Attn: Michael Garde
345 23rd Avenue North
Nashville, TN 37203