New Patient Forms
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. You can also email to email@example.com. 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!
- General Medical Request form: To request records from your OB or Primary Care
- ART Medical Request form: To request records from a prior Fertility Practice