Shytara N.

We welcomed our 2nd tubal reversal baby on 10/3/2023 and have been over the moon about her joining our family. We cannot thank the staff at

Lakeshore enough for helping us with our journey to complete our family.

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 *

Email Address *

Work Phone

Cell Phone

Home Phone

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