Forms

New patient visit

• Female Patient History
• Male Patient History
• Insurance Information
• Request for Release of Medical Information
• Permission to Discuss PHI
• Zika Virus Information
• Zika Acknowledgment

IUI/IVF preparation

• In Vitro Fertilization (IVF) Patient Information
• Online Orientation Group Confidentiality Agreement

IUI consents

• Intrauterine Insemination (Donor)
• Intrauterine Insemination (Partner)

IVF consents

• In Vitro Fertilization (IVF) Treatment Plan Form
• Frozen Embryo Thaw Cycle and Transfer Consent
• Freezing of Embryos Consent
• Egg Freezing and Disposition of Frozen Eggs Consent

Other consents

• Discard Consent
• Informed Consent for Genetic Disease Carrier Screening-Female
• Informed Consent for Genetic Disease Carrier Screening-Male

Research

• Research Participation Consent

Policies

• Pre Payment Policy

Appointment instructions

• Blood Draw Instructions
• IUI Instructions
• Semen Analysis Instructions
• Andrology and Laboratory Test Requisition
• Sperm Cryopreservation