Patient Registration

Registration forms and Instructions

Registration Forms

If you are planing to visit one of our offices, it is beneficial to have medical records sent to The Fertility Institutes in advance. This can be done by requesting that your records from other providers you may have seen be sent to us by mail or we also give you the option of filling out your patient registration and medical histories in advance as follows:

Request for Medical Records
Patient Registration Form
Female Patient History Form
Male Patient History Form
Complete Gender Selection Registration Package

Financial Planing

We offer patient assistance with financial planing of fertility services. Loans are available for all qualified U.S. and most Canadian applicants.

Insurance Options

We offer patient assistance obtaining HMO and PPO insurance benefits. We are not "providers" but have obtained patient benefits in selected cases.

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