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Are you a:
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Nurse
Social Worker
Navigator
Billing Manager
Other
What percentage of your patients might need fertility preservation?
(Please Select)
0-25%
26-50%
51-75%
76%-100%
What percentage of your patients already have coverage for fertility preservation?
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0-25%
26-50%
51-75%
76-100%
If your patient does not have fertility preservation or infertility coverage, do you normally submit a prior authorization request anyway?
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Yes
No
N/A
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Your e-mail address and personal information are confidential and will not be sold or rented.