Forms and resources for health care professionals (4)
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Fertility general referral form
Optum specialty fertility referral form. Send us the form and we will take care of the rest.
Fertility Solutions Provider Prior Authorization Form
UHC providers may use this form to submit for infertility/fertility prior authorization.
Managed Infertility Program Prior Authorization Form
Oxford providers may use this form to submit for infertility/fertility prior authorization.
Third party/donor referral form
Optum specialty referral form for donors and third party fertility patients.