F O R   P A T I E N T S – resources
Click on any form name to access the printable PDF versions of the form. Then, simply complete the form and fax or mail it to us. In the case of records releases, please fax or mail to the appropriate doctor's office or hospital. You'll save time, and you'll be sure all the necessary information is at your fingertips when you arrive!

• Financial Policy
• Medical Records Release Request
• Hysterosalpingogram Films Release Request
• Male Patient Information
• New Patient Check List
• Patient History Form
• Female Patient Information
• Semen Analysis Release Request
• Release for Our Medical Records

To view and print the forms, you will need to have the FREE Adobe Acrobat Reader installed on your system. Download the Reader by clicking on the Acrobat icon below.