RMFC Fertility
Reproductive Medicine and Fertility Center Colorado Springs

February 2010

Past Medical History

Description: 
Past medical history for you and your partner
PDF Form: 
Word Form: 

Patient Diagnosis Treatment Form

Description: 
Patient Diagnosis Treatment Form for 2010 Patients of RMFC

Health Insurance Coverage

Description: 
Diagnosis and Treatment of Infertility: Am I Covered? Health insurance information

Authorization to Release Medical Records

Description: 
Please sign this authorization in order for RMFC to release your medical records on your behalf

Please Remember the Following

Description: 
This packet must be completed and returned one week before your scheduled appointment. (call us if you need more time!)
PDF Form: 
Word Form: