Handouts & Forms
Please choose the appropriate form(s) below to assist us in getting to know you. They will open a PDF or Word file. Please print, complete, and bring with you to your next appointment unless otherwise asked to do so.
| Please Remember the Following | This packet must be completed and returned one week before your scheduled appointment. (call us if you need more time!) | |
| Authorization to Release Medical Records | Please sign this authorization in order for RMFC to release your medical records on your behalf | |
| Health Insurance Coverage | Diagnosis and Treatment of Infertility: Am I Covered? Health insurance information | |
| How Did You Find Out About Us? | ||
| Patient Diagnosis Treatment Form | Patient Diagnosis Treatment Form for 2010 Patients of RMFC | |
| New Patient Package Part 1 | ||
| New Patient Package Part 2 | ||
| Computerized Medical Record Sheet | This particular packet will be used to input your information into an Electronic Medical Record. RMFC is continually trying to improve service to you, your referral doctors, and your insurance companies. | |
| Your Contact Info and our Practice Info | ||
| Past Medical History | Past medical history for you and your partner |
