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 Referral Waiver
- Patient Information Form
- Insurance Agreement and Release
- Request for Information
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.