If you are an existing CEC patient from any year, you do not need to register. If you are a CEC patient in need of assistance with any matter, please call us at 770-913-0001. Thank you.

Please do not complete this registration form if you have, or intend to schedule, an in-office appointment. This form is for new, free records review cases only. If you have made an appointment and are looking for the “new patient appointment” packet of forms, please scroll down to the forms below. Thank you.

For the past 30 years, the CEC has been very pleased to evaluate cases from around the world, at no cost to the patient, in an effort to help the international endometriosis community connect with better care. Given the vast time and effort our surgeons dedicate to the review and procedural planning process with each patient who sends their case, however, we ask that only those individuals who are committed to potentially pursuing treatment in the near future here at our Center send their files for review. We appreciate your understanding.

Please also note the following:

We do not accept record packages for review by email or fax. Please follow the instructions you will receive after registering to ensure a timely review of your case file.

Please read our guidelines regarding high BMI and other surgical risk factors which may influence our ability to consider your surgical candidacy before registering. If you do not know your BMI, you can calculate it online for free here. We also encourage our visitors to read our FAQs as well.

We are an out of network provider for all insurance. You can learn about how we work with insurance carriers before registering here. We cannot determine costs of specific cases prior to review.

GDPR/Privacy: we take your privacy very seriously. By proceeding with the following registration data input, we will collect personal information about you, including but not limited to your name, address, email and phone number. We will use your data only to personalize your correspondence with us, administer your case, and provide any products and/or materials and/or services you have requested from us. All information is held in the strictest of confidence; no third parties have access to your data except as directed by law. All information collected herein is stored on protected servers. To learn more about our privacy policy, please click here. By proceeding with your registration input, you acknowledge this privacy notice and afford permission for the CEC staff and/or its assigns to contact you as outlined above.

How the registration process works:

Every registration is responded to by email (or postal mail if email - the preferred method - is not available) with an information packet containing next steps, instructions and all the necessary details and requirements. The email packet is usually sent within 24-48 hours after you've registered unless temporary delays are specifically noted. If you do not receive your e-packet, please check your spam file. If you receive an email from one of our surgeons but not your packet of instructions, that means the mail went to your blocked/spam file or was otherwise not delivered by your email provider. Please check and notify us accordingly if you still did not receive it by sending a message to If we are continually able to contact you after a number of tries, your packet will be mailed to the address on file.

Please understand that we cannot process any case file reviews on an 'urgent' basis. You can expect the process to take between 6-12 days from the time the records are received. Please also note that incomplete or incorrect registrations will significantly delay processing of your file (e.g. incorrect email address, missing fields, etc.).

Thank you for taking the time to read through the above and complete your form. We hope we are able to have the privilege of assisting you.

Date of birth: *
Date of birth:
Phone number (include country code if outside USA): *
Phone number (include country code if outside USA):