Patient Forms
Prior to your first visit
Before we can make your first appointment, you must complete our new patient forms. The Patient Registration form, New Patient Questionnaire, and Medical Records Release form will provide us with the information we need to assist you appropriately. All these forms should be completed and sent to their appropriate destinations prior to your first visit.
Whether you are a local, national, or international patient, you can find the registration forms online. Complete each form, then fax (706-653-8933) or e-mail (contact our New Patient Coordinator) the Patient Registration and New Patient Questionnaire. Please send the Medical Records Release to your previous physician.
New Patient Forms
New Patient Packet: Your name, contact information, insurance information, referral information, and authorization for insurance and payment.
Review of Systems
Financial Policy
Patient Forms
Privacy Notice
Donor Packet
Cryopreserved materials disposal consent
Cryopreserved Embryo Disposal Consent
Cryopreserved Sperm Disposal Consent
Donor Egg Cost Information
Egg Donor Consent
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