Your First Visit

Patient Forms

View and print your New Patient paperwork here.  We ask that you bring your completed paperwork to your first appointment.  Please contact your insurance to verify infertility benefits and if a referral is needed prior to this appointment.  We look forward to working with you!

Patient Privacy Practices Notification

Patient History Form

Patient Referral Wavier

ORM’s Privacy Policy

AI Participation Form

Established Patient Participation Form

If you are considering Artificial Insemination (AI) or Intrauterine Insemination (IUI) please complete the AI Participation Form. Please turn in the completed form at least one month before the expected cycle start date so that our billing department can determine insurance coverage and obtain pre-authorization for treatment.  

AI Participation Form

Medical Records Release

Medical Records Release