Application Form opens October 1st!
Please have your Oncologist Referral and Certificate Form ready!

Eggtober Application Form October 2022
To be eligible for the Eggtober program offered by Generation Next Fertility, PLLC (“Generation Next”), you must be over the age of 18, have a cancer diagnosis and not have received chemotherapy in the last six months. Please read the terms and conditions located above prior to submitting this application. Questions can be addressed to our staff at Complete all fields in the following form and keep a copy for your records. Incomplete applications will not be processed. To be considered, applications must be submitted prior to November 1, 2022. Note: If you are selected, a physician will discuss the risks, side effects and other aspects of all treatment options with you before recommending the best course of treatment. If at any time you are advised to seek treatment for cancer immediately, it is our position that you should not delay cancer treatments in order to receive these fertility preservation services.
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Office Location

115 E 57th Street, 11th Floor

New York, NY 10022

(Between Park Ave & Lexington Ave)

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Office Hours

7:00am – 5:00pm

8:30am – 3:00pm

Sundays & Holiday Hours
By Appointment only

Monitoring Hours

6:45am – 12:00pm

7:30am – 12:00pm

Sundays & Holiday Hours
By Appointment only

Generation Next Fertility
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