Here you will find the
Clinic Patient Forms
needed for your first visit
To make your first visit with us as easy as possible, we have our intake forms available to you online. Please fill them out prior to your first appointment. You may fill them out online and then print, or you may print them out and complete by hand. We have two different groups of forms. The first one is for those who are paying for the treatment out of their own pocket and the second for those whose treatment is covered by health insurance. The third patient form is only for those women seeking assistance with fertility issues.
If you are private pay
(cash, check, or card), please print and fill out form below:
If you have health insurance
please print and fill out form below: