INTERNATIONAL PATIENTS

Patients from outside of the US who seek infertility treatment with us are requested to first complete the International Patient Intake Form. Once this has been received and reviewed by Dr. Brandeis, you will be contacted by phone or email.

Members of our staff speak multiple languages. We therefore will accept medical records in the following languages:

• Spanish
• French
• Italian
• German
• Hebrew
• Tagalog / Filipino
• Russian

International Forms / Questionnaires

Please complete and fax/return the relevant forms below:

Wife Questionnaire - International
Husband Questionnaire - International
Patient Intake Form - International

Medical Records

Medical records in languages other than those listed above cannot be accepted and must be translated to English. As a word of caution, please do not send original documents through the mail. We strongly recommend you to always send photocopies and preferably to scan and email your documents to: info@newyorkfertility.com

There is no charge for medical record review. After reviewing the records,
Dr. Brandeis will determine:
• if you are a good candidate for treatment at the Brandeis Fertility Center
• if additional studies must be done
• if corrective measures must be done prior to your seeing us.

Please note that certain blood tests such as infectious disease screening (Hepatitis A, B and C, HIV, Rubella and in some cases, cystic fibrosis screening are required prior to starting fertility treatments with us).

Results of these tests done outside the US will not be accepted and must be repeated.

What record results will we accept?
• Hysterosalpinogram – we prefer that you bring the films in addition to the results
• Transvaginal sonogram – again, we prefer you bring copies of the sonogram    films, if possible
• Reports of surgery
• Pathology reports
• Reports of sperm analysis testing
• Hormonal studies such as FSH, LH, Prolactin, Thyroid
• Clinical opinion letters from physicians you’ve consulted

Please be advised that some diagnostic studies may need to be repeated. We will make all efforts to refer you to a laboratory or urology facility that offers a reasonable price structure in addition to high quality services.

Due to the number of patients that we see, we unfortunately cannot accept responsibility to obtain a visa for you. We will be glad to furnish you with a letter that explains in detail the nature of your medical problem and the medical assistance that we are seeking to provide you with.

Dr. Brandeis returns all calls personally and please know the time difference if you are trying to reach Dr. Brandeis directly. Dr. Brandeis prefers to return calls between 8:30-11 most evenings EST.

If you wish to have a copy of our patient information pamphlets, procedure protocols or any other information, please send your request by email to: info@newyorkfertility.com

We return all emails within 24 hours.

Travel

The staff of Brandeis Medical Center will not be responsible for travel arrangements. Each patient is responsible for making their own flight and hotel reservations. Feel free to check New York City’s official website at www.nyc.gov and click on Information and Services, then click Visitors, then click on Where to Stay.

Language Translation

If you cannot communicate in English and your language is other than those listed above, we strongly recommend that you arrange for a translator to accompany you to your appointments as well as to assist in the evening hours for any questions and concerns.

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