New Patient Pre-Registration Appointment Form for Reproductive Services
Welcome to Atlantic Reproductive Medicine!
A personal message from Founder, Susannah Copland, MD:
We are looking forward to partnering with you on your family-building journey!
If you are seeking male fertility services, please click here to fill out the male fertility new patient form.
The pre-registration appointment form below is our first step in getting to know you and setting up your initial appointment. This is a HIPAA-compliant, secure form. Please fill out all fields and hit the submit button on the final page.
At this time, our services are in particularly high demand so we ask for your patience as it may take up to 3-5 business to receive a call from one of our experienced patient care coordinators.
We look forward to meeting with you!