Join Friends and Family of Texas Fertility Center. Report the Birth of Your Baby.

  • Please provide your email address so we may clarify any information provided if necessary. We will not release your email address or use it for any other purpose.
    Please select the type of procedure provided by NFC that resulted in pregnancy.
  • If “other” was selected for fertility procedure, please explain:
  • What was the approximate date of the procedure (month/year)?
  • Birth weight(s) of each baby.
  • Were there any complications to the pregnancy?
  • Problems with delivery?
    Select method of delivery
  • Gender and name of each child (Name information will not be reported to the CDC however Gender info will).
  • Additional information you would like to report to us (this information will not be reported to the CDC).
  • Submission Notice:

    Please note the information on this contact form is transmitted over the internet, and Texas Fertility Center cannot guarantee that the message is secure. If you are uncomfortable with this form of communication, please give our office a call.