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.

Contact Us Today

*All indicated fields must be completed. Please include non-medical questions and correspondence only. Due to the volume of inquiries we receive, you are referred back to our web pages for award winning detailed information on our procedures. If you would like additional basic information beyond this, feel free to call us. If seriously considering our services and for even more personalized information specific to YOUR personal situation, we urge you schedule a physician consultation. Spending time with our physician specialists will allow all of your questions, both generally and personally to be answered and will give the Doctor a chance to evaluate your suitability for the procedure(s) you are considering. The fee for a consultation is $365. An initial physician consultation is mandatory for program enrollment. If you enroll within 14 days of your consultation, your consultation fee will be credited to your cycle.

Office Hours

Monday: 8:30am - 5pm
Tuesday: 8:30am - 5pm
Wednesday: 8:30am - 5pm
Thursday: 8:30am - 5pm
Friday: 8:30am - 5pm
Saturday & Sunday: Closed

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