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Advanced Reproductive Care, Inc. (ARC) is the nation's largest network of Reproductive Endocrinologists that is committed to providing affordable packages and financial solutions that help overcome insurance limitations. For the past 10 years ARC has helped thousands of couples realize their dream of having a baby.

Advanced Reproductive Care, Inc. (ARC)®
540 University Avenue, Suite 250
Palo Alto, CA 94301 USA

Toll Free: 1-888-990-2727

Please fill out the following questionnaire to find out how The ARC Fertility© program can work for you and to receive additional information ...or click here to forward this email to a friend who might be interested in affordable fertility options.

Be assured that your information is secure and confidential
and will be used only by Advanced Reproductive Care, Inc.

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1. Do you have a fertility doctor?*

Yes, write the name of the doctor:
No, but would like a referral to a doctor in my area.

2. Do you know what type of treatment you are seeking? *

if Yes, select from menu



3. How soon do you anticipate starting treatment?*


4. I am interested in... (check any that apply)*
Affordable quality care and predictable pricing
Treatment financing and payment plan options
Refund Guarantee for Fertility Services
Referral to a board-certified Reproductive Endocrinologist
Other:

5. How did you first learn about us? (Answer all that apply)*
Physician or clinic/medical group referral: (indicate which one)
ARCfertility.com
Web search (Google, Yahoo, Ask)
Print advertisement, which:
Friend, word-of-mouth

 6. For further information, would you like us to send you a packet?
  Yes, please send information package

8. To better assist you, any additional questions or comments are welcome (optional).
 


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