Maranatha O.

Hello my name is Adrielys I was born on September 28, 2022 weighing 8 pounds and 15 ounces. Thanks to Lakeshore surgical center for making my mom’s dream come true

Testimonial Submission

Pregnancy Report

First Name *

Last Name (at time of surgery) *

Last Name (current)

City *

State *

Country *

Date of Reversal *

Doctor Who Performed Surgery *

Date of Last Menstrual Period *

Date of Positive Pregnancy Test *

Due Date

Number of Pregnancies Since TR

Outcome fo Previous TR Pregnancies and Dates

Type of Tubal Ligation *

How May We Contact You?

Email Address *

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Cell Phone

Home Phone

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