RMFC Fertility
Reproductive Medicine and Fertility Center Colorado Springs

Handouts & Forms

Please choose the appropriate form(s) below to assist us in getting to know you. They will open a PDF or Word file. Please print, complete, and bring with you to your next appointment unless otherwise asked to do so.

 

Computerized Form to Fill out about YOU and YOUR Partner This form will be used to collect VERY important information to help us understand your fertility history and save you time towards getting care.
Please Remember the Following This packet must be completed and returned one week before your scheduled appointment. (call us if you need more time!)
Authorization to Release Medical Records Please sign this authorization in order for RMFC to release your medical records on your behalf
Title Desc
Health Insurance Coverage Diagnosis and Treatment of Infertility: Am I Covered? Health insurance information
How Did You Find Out About Us?
Patient Diagnosis Treatment Form Patient Diagnosis Treatment Form for 2010 Patients of RMFC
New Patient Package Part 1
New Patient Package Part 2
Your Contact Info and our Practice Info
Past Medical History Past medical history for you and your partner