- New Patient Forms
- Consent Forms
- Insurance Information
- Other Resources
- Other Downloads
- Pharmacy Contacts
- Financing Options
All New Patient Forms (PDF)
Please Follow These Instructions
- Please fill & sign all forms and bring these with you on your first visit.
- SIGN copies of record release and get them to those centers, that have records you wish us to review. You may have to have your husband/partner sign their own release.
- Please make an enlarge copy of your insurance card (front & back) and fax it to our office, 602-493-6641, in advance of your appointment. This will allow us time to check on your benefits.
- Please note that IVF Phoenix is a fragrance free clinic. Please do not wear perfumes or colognes to IVF Phoenix. Thank you!
Individual New Patient Forms (PDF)
- New Patient Form
- Initial Visit PT History Female Form
- Patient Update Form
- Financial Policy Form
- Medicare Statement Form
- Record Release Form
- Male Partner History Form
- Privacy Policy
- Privacy Policy SART
- HIPPA Consent Form
- Assisted Reproductive Lab embryo transfer
- Assisted Reproductive Labs not contracted
Other Consent Forms (PDF)
Insurance Information
We DO NOT participate in Medicare or AHCCS plans, therefore, we will be unable to make new patient appointments for patients with this type of coverage.
Other Resources
- ART Photos
- Clinical Images
- IVF Baby Photos
Online Education Resources
- Arizona Society for Reproductive Medicine
- Fertility Lifelines
- IVF Connections
- RESOLVE (The National Infertility Association)
Injection Teaching Videos
Other Downloads
- Ask Yourself (PDF)
- Instructions to Retrieve Messages (Lab. Results & Other Instructions) (PDF)
- Discourse on PCOS/IR/Fat Metabolism Model (Word Doc)
- Discourse on Fat Metabolism 2 (PDF)
- Explanation of PCOS Absolute or Relative Deficiency of FSH (PDF)
- Model of Understanding Thin Endometrium (Word Doc)
- Model of Clotting Imbalances applied to Diseases and Health (Word Doc)
- PPA Presentation (PowerPoint)
- PPA abstracts (Word Doc)
- Model of inflammation with pulmonary focus (Word Doc)
- Model of inflammation in infertility and APO (Word Doc)
- IVF Phoenix Pearls about doing a Semenanalysis (Word Doc)
- Fibromyalgia is characterized by widespread pain and tenderness in specific areas of the body when pressure is applied including back of the head (Word Doc)
Pharmacy Contacts:
The Compounding Centre
T: 602.971.6950
http://www.compoundingsolutions.com
Phone: (888) 276-8353
Fax: (877) 276-8353
FINANCIAL INFORMATION
IVF Phoenix works with most major insurance plans. We will always assist you by verifying coverage and benefits prior to your visit. Insurance benefits vary with each individual policy and insurance carrier. For covered services, we will bill your insurance company and only applicable co-payments and/or co-insurance will be due on the date of service. Payments for services not covered by insurance are due on the day of service or in advance of treatment.
We encourage our patients to familiarize and educate themselves with their insurance benefits and coverage for infertility. It is important to ask the right questions in seeking coverage information. The following link provides outstanding in-depth instructions and guidance about what to ask your insurance company.
There are independent third-party programs established to provide lending options for medical treatments.
www.healthone-financial.com Customer Service: 1-800-748-3621
www.medicalfinancing.com
Customer Service: 1-888-502-8085
Fertility Lifelines (PDF)
MedLoan Finance T:800.504.4053





