Where would you like to establish care?
Region
(Required)
New York
2 LOCATIONS
California
6 LOCATIONS
Oregon
1 LOCATION
Choose your clinic
Locations CA
(Required)
San Francisco, Pac Heights
1 Daniel Burnham Court, Suite 110C San Francisco, CA 94109
San Francisco, SOMA
425 Mission Street, Suite 222 San Francisco, CA 94105
Oakland
80 Grand Avenue 3rd Floor Oakland, CA 94612
Danville
80 Grand Avenue 3rd Floor Oakland, CA 94612
Sunnyvale
550 Lakeside Drive Sunnyvale, CA 94085
Redwood City
570 Price Avenue Suite 200 Redwood City, CA 94063
San Francisco, Pac Heights
San Francisco, SOMA
Oakland
Danville
Sunnyvale
Redwood City
Locations NYC
(Required)
New York
114 W 41st St.
New York, NY 10036
LONG ISLAND – GARDEN CITY
700 Stewart Ave,
Garden City, NY 11530
New York
Long Island - Garden City
Locations PDX
(Required)
Portland
2055 NW Savier St.
Ste 150
Portland, OR 97209
Portland
Let’s get you scheduled
Preferred first name
(Required)
(This is the name you’d like us to use when communicating with you)
Is your legal name different from your preferred name?
(Required)
Yes
No
Legal First Name
(Required)
Legal Last Name
(Required)
Date of Birth
(Required)
Phone
(Required)
Email
(Required)
Sex Assigned at Birth
(Required)
Sex Assigned at Birth*
Male
Female
Pronouns
(Required)
Pronouns*
She/Her/Hers
He/Him/His
They/Them/Their
She/They
He/They
No Pronouns (Name Only)
Ze/Hir/Hirs
Ze/Zir/Zirs
Xe/Xem/Xyr
Ey/Em/Eir
Per/Per/Pers
E/Eir/Eirs
Interested In
(Required)
Interested In*
IVF
Egg Freezing
Embryo Cryopreservation
IUI
Pre-Conception Counseling
General Fertility Counseling
LGBTQ+ family planning
Do you have Fertility Benefits?
(Required)
Do you have Fertility Benefits?*
Yes
No
Benefit Provider
(Required)
Select Your Benefit Provider*
Progyny
Carrot
Maven
Win Fertility
Stork Club
Other
Benefit Provider Other
(Required)
Employer name
How did you find us?
(Required)
How did you find us?
Friend / Family / Colleague
Insurance
3rd party agency
Physician
Acupuncturist
Event
Internet
Social Media
Podcast
I'm already a patient
Other
How did you find us: Name of Friend, Family Member or Colleague
(Required)
How did you find us: INSURANCE COMPANY
(Required)
How did you find us: INSURANCE COMPANY
Progyny
Carrot
WinFertility
Maven Clinic
Stork Club
Primary insurance
How did you find us: AGENCY TYPE
(Required)
How did you find us: AGENCY TYPE
Donor
Surrogacy
How did you find us: Event Name
(Required)
How did you find us: Physician Name
(Required)
How did you find us: Acupuncturist Name
(Required)
How did you find us: INTERNET SOURCE
(Required)
How did you find us: INTERNET SOURCE
Google
SART
FertilityIQ
Yelp
Reddit
IVF Explained
Search engine
Other
How did you find us: SOCIAL MEDIA
(Required)
How did you find us: SOCIAL MEDIA
Influencer
Ad
Facebook Group
Spring's Instagram
RED/Xiaohongshu
TikTok
Other
HOW DID YOU FIND US: Influencer Name
(Required)
How did you find us: PODCAST NAME
(Required)
How did you find us - Other
(Required)
I agree to receive SMS
I agree to receive SMS messages regarding important information about my upcoming appointment.
I agree to receive emails
I agree to receive emails from Spring Fertility with insights and support for my fertility journey.
Thank you for your interest in Spring Fertility!
We have a few more questions for you to get your patient profile set up. Please see below.
Will you have a partner joining you on this journey?
(Required)
Will you have a partner joining you on this journey?
Yes
No
Partner Full legal name
(Required)
Discount Code
Donor Tissue Counseling
Please complete to schedule a session.
First Name
*
Last Name
*
Email
*
Phone
*
This field is hidden when viewing the form
Session Type
*
In-person
Virtual
*In-person appointments available at our SOMA clinic only
×
Fertility Wellness Counseling
Please complete to schedule a session.
First Name
*
Last Name
*
Email
*
Phone
*
This field is hidden when viewing the form
Session Type
*
In-person
Virtual
*In-person appointments available at our SOMA clinic only
×
Fertility Support Group
Please complete to schedule a session.
First Name
*
Last Name
*
Email
*
Phone
*
Session Type
*
Support Group for Solo Parents
IVF/IUI Support Group
Pregnancy Loss Support Group
*In-person appointments available at our SOMA clinic only
×
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