Family Acupuncture   
& Herbal Therapies, LLC   
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Fertility/Infertility

Please click on the forms below, print and fill it out, and bring it with you on your first visit.

Fertility Health History Form

Fertility Differential Diagnosis Form

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Basal Body Temperature Chart



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9130 W. Loomis Road, Suite 900, Franklin, WI 53132, 414-704-2333
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