Fertility Counseling of Houston  - Leslee Murphy, LCSW

OFFICE INFORMATION & FORMS

Appointments:
 
Please call 713-444-4828 or 
to schedule an appointment.
 

Payment:
 
Payment (cash/check) is due at time of service.  A detailed receipt will be provided for insurance reimbursement. Please note that all cancellations must be made within 24 hours to avoid charges. 

New Patient Forms:
 
If you are a new patient, please complete and bring with you
the appropriate forms and consents listed below:
 
 


                        
                            New Patient Forms

                          Donor Evaluation Forms













                      Intended Parent Forms    Intended Parent Forms  
                          Donor Recipient Forms











            
            Gestational Carrier Evaluation Forms