Please complete the information below to request the deactivation of a provider in your eIVF system. This ensures that our team can process the change accurately and in a timely manner.

Practice Name*

First Name of Submitter*

Last Name of Submitter*

Job Title*

Email*

Phone Number*

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Provider Full Name*

Deactivation Date*

Are you still billing or completing this providers Billing or AR?*

If yes, we cannot de-activate until all Billing and AR are completed and the customer can de-activate access for the user on their end.

If the billing is not completed, and the clinic wants to access the previous scheduling for the provider, the user can add the deactivation date to the provider’s last name in the setup. This information will be shown on the schedule list and the clinic can continue to access the provider’s schedule when needed.

Go to the System set up
Select Provider
Find the provider’s name and double click to edit as follow: add “NA 4/15/2025” to the last name and save