Patient Forms
prior to your first appointment
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.
Initial Patient Forms
Patient Demographics: Your name, contact information, insurance information, referral information, and an authorization for insurance and payment.
Financial Policy
IVF Packet Forms
IVF Consent
IVF Patient Info
Embryo Cryopreserved Consent
Frozen Embryo Consent
Patient Forms
Donor Packet
Known Surrogate Consent
Consent for Recipients of Donated Eggs
Cryopreserved Embryo Disposal Consent
Sperm Cryopreserved Consent
Cryopreserved Sperm Disposal Consent
Donor Egg Cost Information
Egg Donor Consent
Embryo Donations Consent
