Midwest Fertility Specialists
Request an Appointment

Contact Us to Report Your Pregnancy

If you have become pregnant after utilizing our services, please complete the form below about the outcome of your pregnancy.

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
function createCookie(name, value, days) { var expires = ""; if (days) { var date = new Date(); date.setTime(date.getTime() + (days * 24 * 60 * 60 * 1000)); expires = "; expires=" + date.toUTCString(); } document.cookie = name + "=" + value + expires + "; path=/"; } function readCookie(name) { var nameEQ = name + "="; var ca = document.cookie.split(';'); for (var i = 0; i 0) { var utm = pageUrl.substring(pageUrl.indexOf('utm')); createCookie("utm_cookie",utm,14); } if (readCookie('utm_cookie') != null) { var edcLinks = document.querySelectorAll("a[href^='https://midwest.eggdonorconnect.com/donorprescreen']"); for(x = 0; x < edcLinks.length; x++) { edcLinks[x].href = 'https://midwest.eggdonorconnect.com/donorprescreen?' + readCookie('utm_cookie'); } }