Use this form to schedule a FREE consultation
with Dr. Braverman.
Before We Start, A Little More About Our Process...

Dr. Braverman has committed himself to becoming the leader in the field of Reproductive Immunology.

Many patients find us last, but we are very happy that you have found us and we are confident that Dr. Braverman and our medical team will be able to give you the answers that you have been looking for.

About Our Consultations...
Our center offers all our new patients a Free consultation with Dr. Braverman either by phone or Skype. At this consultation Dr. Braverman will review your history and together, you and he will determine your need for our services.

The conversation will typically take about 10-15 minutes unless you have an extensive history.

Dr. Braverman will give you all the time needed to be sure your concerns are addressed and he has a complete picture of your history.

During Your Consultation...

We recognize that many of you have been on a difficult journey before you find us. Dr. Braverman understands and will take this time to review several options to coordinate your care with our practice.

As we currently treat patients all over the country and around the world, Dr. Braverman will discuss the need for possible immunological testing, working with your local doctor or suggest that you come to our center on Long Island or New York City for all of your care.

After your consultation, you will have an opportunity to speak with our finance department to discuss insurance coverage or any possible out of pocket expenses you may incur.  We can also provide you with different financing options.

Then you can decide if you would like to become an Immune Management Patient.

Let's Get Started...
The following questions will help us better understand your current situation and history. This will help Dr. Braverman tailor his consultation to your exact situation.

Are you located in the United States or International? *

What is your gender? *

What is your date of birth? *

ie: 10/05/1973
What is your first name? *

Please use your legal name as listed on your ID.
What is your last name? *

What is your phone number? *

This should be the best number to reach you, typically a mobile phone.
What is your street address? *

What is your city, town or locality? *

What is your state or province? *

What is your postal code? *

What is your country of residence? *

What is your marital status? *

How did you hear about our practice? *

Do you currently have insurance?

Please tell us more about your insurance company.

These questions are optional, but speeds up the process down the road.
What's the name of your insurance company?

ie: Bluecross, United Healthcare, etc.
What's your insurance ID #?

and your Group #?

and lastly, what's the effective date on your insurance?

ie: 11/15/2018
No problem. We work with many patients that pay direct and/or use one of our financing programs.

{{answer_eYsWtqZ8ESvr}}, these next set of questions will help us determine your current situation.

Are you currently pregnant?

{{answer_eYsWtqZ8ESvr}}, how many IVF cycles have you gone through? *

Have you been diagnosed with Endometriosis and/or have had any surgery for Endometriosis? *

Are you interested in IVF with or without PGD?

{{answer_eYsWtqZ8ESvr}}, thank you. There's one more section remaining. Here you can write a message to Dr. Braverman explaining your situation and your history.

Dr. Braverman personally reads all messages that are sent.

Write a message to Dr. Braverman... *

Include as much detail as you feel is important. Dr. Braverman reads every message.