**PLEASE NOTE: DO NOT send records or ANY medical information to the CEC offices without registering first.  UNSOLICITED RECORDS WILL BE DESTROYED.  We cannot track partial or unregistered cases, as this can cause confusion and significant delay in getting your case reviewed.  Thank you for understanding.**

See also - http://www.centerforendo.com/getstarted.htm

The CEC is the only Center of Excellence in Endometriosis Surgery in North America offering, to our knowledge, free records review and case evaluation.  We're pleased to offer this service to our friends in the endometriosis community.

Before reading on, do you just need to update your contact information? Click here to send us your update by email. 

Or, if you were looking to provide us with your doctor’s address so we can send him or her information, simply click here.

If you wanted to make an in-office appointment, call 770-913-0001 (there will be a charge for new patient consults seen in the office).  Free records review? See below.

Every registration form submitted (below) is responded to via email with an information packet and our necessary requirements for free records review. Please allow up to 2-3 business days for response.

Please take care to input your email address correctly, double-checking that you have given us accurate information.  We cannot reach you if you provide us with an email address that does not work or does not accept email from us.  If you do not receive your requested information within 2-3 business days, it has been bounced by your server or we did not otherwise receive it.  Please contact us toll free at 866-733-5540 to provide alternative delivery information as soon as possible.

ALL PATIENTS PLEASE NOTE:

If you are sending videos along with your case file for us to consider, be advised that the tape MUST be properly labeled with your full name, date of birth and phone number.  Videos which do not bear this information will NOT be considered during the case review.  Thank you.

The CEC will return medical records upon request at no charge.  Should you require the return of your case file, please contact us at 770-913-0001 or include a note indicating your request in your records review file.  Please be further advised:  we purge files one year out from receipt of records.  The records of those individuals who do not become CEC patients within one year of sending their case for our free review and evaluation will be destroyed, unless they specifically request return of those materials within the one year time frame.  Thank you.

Please note that we cannot discuss fee information prior to reviewing cases.  Each patient's situation is unique and handled on a case by case basis.  We strive to make it a possibility for all patients to receive care with us to the extent we can, and thus fees can only be determined based on the patient's review and recommended procedures, along with her personal financial and insurance details. All patients will be worked with individually after their intitial consult with Dr. Sinervo and a surgical fee contract will be established before patients schedule to come to Atlanta. Thank you for understanding.

All fields requested below are required.  Completing the information as requested allows us to register you and receive your files for evaluation.  Without all the information, we cannot process your registration accordingly.  If you do not have email access or a cell number, or it is not permissible to contact you at work, please simply note “N/A” in those fields. All forms not containing an email address will receive a postal mail packet. If you have an automatic spam blocker, please add “CenterForEndo.com” to your approved list of domains.  Also be sure to double-check your email address input, as incorrect information in this field will result in an undeliverable response from us.  We cannot be responsible for messages not received as a result of incorrect information or blocked accounts. 

Please be advised that the CEC places the highest value on your privacy; this information is collected of potential patients solely in order for us to better meet your needs.  This data is held in the strictest of confidence and is never sold, shared or provided to any third party for any reason, at any time.  Submitting this information in no way obligates you to, and is not indicative of, a doctor/patient relationship.  Thank you for helping us to ensure accuracy in our records and to meet your information request in a timely manner.  If you wish to register privately with our program director, please email or call as noted in our contact information. Thank you.

PLEASE DO NOT SEND YOUR RECORDS WITHOUT REGISTERING!

Press "submit" ONLY ONCE.  The screen does not change; please look for the "thank you" message at the top of the form once you have submitted your information.  Thank you.