Before we can begin your tubal ligation reversal we will need to obtain a copy of your Operative Note and Health History. We will be happy to mail you a copy of the Operative Note Request, the Health History form and send you a brochure if you will email us your address. Simply call our office at 1-877-588-5594 for more information. Also, for your convenience, we have made these forms available online for you to download and fax to our office. If you have any questions or have problems downloading the forms please feel free to give us a call.


We do this day in and day out. Some healthcare facilities can be a pain in providing records even though it is a requirement for accreditation and, in some states, required by law. Over the years we have learned a lot about how to get through the red tape.

Doctors don’t often have the op notes and sometimes we try them when the hospital has destroyed the op note but we try the hospital first. Some of our patients don’t want their doctors to know that they are considering tubal reversal for various reasons. This is another reason we try the hospital first.

It is not the end of the world if we cannot get your op note. Sometimes we talk to our tubal reversal patients and learn enough so we don’t need the op note. We do have a “look and go” option for this reason.
You can call or E-mail us for a copy of all forms if you don’t care to download it.


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