The Bay Area’s Leading Non-Surgical Fibroid Treatment Center

phone icon

Physician Referral

Are You A Referring Physician?

Please complete our physician referral form to get started. We will follow up as soon as possible!

Candidates for UFE/UAE:

  • Patient’s Not Wanting Surgery
  • Desire to Preserve Uterus
  • Large and/or Multiple Fibroids
  • Adenomyosis
  • Poor Surgical Candidates
  • Pre-Op Hysterectomy
  • Pre-Op Myomectomy
    • Maximize Technical Ease
    • Shrinks Fibroids
    • Minimize Blood Loss
    • Intracavitary Fibroids
  • Technically Challenging Cases
  • Jehovah’s Witness Patients

Patient's Date of Birth

Patient's Medical History

Select all that apply:

Pre-Myomectomy Uterine Artery Embolization
Pre-Hysterectomy Uterine Artery Embolization
Uterine Fibroid Embolization
Uterine Artery Embolization for Adenomyosis
Pelvic Congestion Syndrome
Varicose/Spider Veins
N/A

Please Upload Relevant Notes/Imaging

Drop files here

*By submitting this form and signing up for texts, you consent to receive marketing text messages (e.g. promos, appointment reminders) from VIP Fibroid Center. Msg & data rates may apply. Msg frequency varies. Unsubscribe at any time by replying STOP or clicking the unsubscribe link (where available). Privacy Policy.

Our Locations

map icon

San Jose

map icon

Walnut Creek

map icon

San Francisco