Apply for the Physician-Led Fertility Decision Review

Decision Review Application

First Name *

Last Name *

Phone Number *

Email Address *

State/Province *

Country of Residence *

Which decision are you currently facing?

Briefly describe what has happened and what you now need to decide. (Optional)

What is the most important question you want Dr. Stanley-Christian to help you understand?

When do you expect to make this decision?

Are you currently under the care of a fertility specialist or another treating clinician?

How did you hear about UMFM Whole Being Fertility™?

We need your acknowledgements on the following: *

I understand that submitting this application does not establish a physician-patient relationship.

I understand that this service does not provide emergency or urgent medical care.

I understand that the scope of service may vary according to my location, physician licensure, and the professional relationship established.

I understand that medical records must be submitted only through the secure process provided after acceptance.

I have reviewed the Privacy Policy, Terms, and Scope & Boundaries.

I consent to receive non-marketing text messages regarding my application and scheduling. Message frequency varies. Message and data rates may apply. Reply STOP to opt out.

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Heather Stanley-Christian, MD

TRIPLE BOARD CERTIFIED IN:

Obstetrics & Gynecology
Maternal-Fetal Medicine
Clinical Genetics

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UMFM Whole Being Fertility™ provides physician-led fertility and pregnancy education, records organization, strategic consultation, and decision support. Medical diagnosis and treatment are provided only where legally and clinically appropriate based on location, physician licensure, scope, and the established professional relationship. Services provided outside states where Dr. Stanley-Christian is licensed are educational and strategic and do not replace care from the individual’s treating healthcare professionals. This service does not provide emergency or urgent medical care.