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Referring Providers

Thank you for choosing The Atlanta Center for Reproductive Medicine (ACRM) for the care of your patient. We pride ourselves in offering the most advanced training in Reproductive Endocrinology and Infertility. We look forward to working with you and continuing to advance patient care within the Atlanta community.

Simple ways you can refer a patient:

1. Phreesia Connect Dashboard

This allows your practice to connect via a dashboard directly with ACRM. There you can submit referrals, attach any important documents, and rest easy knowing your patient will be proactively contacted by one of our New Patient Coordinators.

Contact Phreesia

2. Use A Live Interactive Form

Please fill out the referral form. By filling this form out, you will be submitting an online appointment request instantly.

Appointment Form

3. Fax Referral Form

Print and fill out the below PDF and Fax to 678.303.0482 or email

PDF Referral Form

If your office needs more business cards, brochures, complimentary care cards, or has any questions regarding the referral process, please email