SEMEN INFORMATION SHEET

Semen Information Sheet

Semen analyses are currently (as of 5/18/2020) available (subject to change):
Mondays 12-1pm
Tuesday-Friday 10a-1pm.

Please note that magazines and other materials have been removed from the collection rooms. Please bring your own materials/device.

Fill out this form* if you are collecting sperm at home or on site for any of the following indications:

  • semen analysis (Please bring the semen sample, a photo ID, and the appropriate paperwork (link above)
  • semen banking
  • intrauterine insemination (IUI)/artificial insemination

*Adobe Reader 7.0 with Fill and Sign tool may be required. Print and fill out manually and send or bring with you.