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Requirements for Andrology Lab Tests

If you need tests from our andrology or IVF labs, you will need a signed order from your doctor. That's because as a reference lab (and as part of our CAP certification), we are required to have a signed physician requisition order (order form).

You will need a signed physician requisition form from your doctor for the following:

  • diagnostic tests,
  • treatments,
  • consultations, and
  • procedures.

Please ask your doctor to fax the request at the time of your referral.

Fax: 801-581-6127

The request must have your (the patient’s) name, the test or sperm preparation requested, and your doctor’s signature. You can schedule a semen analysis or other testing by calling 801-581-3740.

After we perform analysis, we will interpret and mail the results to your referring doctor within seven to 10 calendar days. You will need to contact your referring doctor for the results.

Request An Appointment

To request an appointment with the Utah Center for Reproductive Medicine, fill out your personal information below and click on the button labeled "Submit". You will receive a response within one business day. You can also call us at 801-213-2995.

What Procedure Do You Need?
Preferred Contact Method

Submit Or Call 801-213‑2995