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.

NFC 2017 HIPAA/PHI Consent 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 mgarde@nashvillefertility.com.

You are also welcome to mail your release to:

Nashville Fertility Center

Attn: Michael Garde
345 23rd Avenue North
Nashville, TN 37203

Once we have received your HIPAA/PHI release form we will contact you to release your story.