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Wisconsin Fertility Institute
Wisconsin Fertility Institute
608-824-0075
608-829-0748
New Patients Register Here
Please click the New Patient Registration button to begin the registration process. Once you enter some basic information about yourself you will be able to log in to complete your registration and history.
Patient Portal
Please enter the username and password, then click Login. If you have forgotten your username or password, click Forgot Username or Forgot Password.
Username
Password
Forgot Username?
Forgot Password?
New Patient Registration
Please enter your name, date of birth, administrative gender, and contact information to begin your registration process.
Email Address
First Name
Last Name
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Sex Assigned at Birth
Select One
Female
Male
Other
Unknown
Phone Number with Area Code
Phone Type
Cell
Home
Work
Forgot Username
Forgot your username? You can recover your Patient Portal username using the email address associated with your account. If you don't have one, please contact the clinic.
Email Address
First Name
Last Name
Date of Birth
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Forgot Password
We'll email you instructions to reset your password. Please enter the username for your Patient Portal account.
Username
