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Strong Fertility Center 500 Red Creek Dr., Suite 220, Rochester, NY 14623 Phone: 585.487.3378 Fax: 585.334.8998Patient Name:Patient DOB:MAN:CONSENT TO RECEIVE CRYOPRESERVED GAMETES I/We, hereby confirm

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Research different fertility service providers in your area.

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Couples who are experiencing difficulty conceiving naturally.

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Same-sex couples or individuals looking to start a family through assisted reproductive technology.

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The purpose of fertility services is to provide assistance and support to individuals or couples struggling with infertility to help them achieve their goal of having children.

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