Semen Test Requisition Form

If you are coming for a semen analysis, please print, read, and complete the semen test requisition form [PDF] before stopping in at the lab. Test preparation instructions are included in the form.
[Need help opening/printing PDF form?]

Payment and Insurance

We collect payment for laboratory services at the time laboratory tests are ordered. A receipt will be provided so you may file a claim with your insurance carrier. You may or may not be reimbursed by your insurance company for our services. Please check with your insurance carrier about available insurance benefits.

West Houston Fertility Center
www.westhoustonfertility.com

9055 Katy Freeway, Suite 309
Houston, TX 77024
[city map | interactive map]

Tel: 832.553.5478 (lab)
Tel: 713.512.7000 (physician appointments)
Fax: 713.465.2417