Patient Forms

Infertility Patients

Patients being seen for infertility should download and complete the following forms prior to your appointment:

• Denver Patient Registration Form
• Colorado Springs Patient Registration Form
  
• HIPAA Form
• Infertility History Form
• Record Release – Release patient records to partner
• Record Release – Release partner records to patient
• Treatment Consent Form
• Carrier Screening Form

Understanding your infertility insurance coverage

You can download and use the following information sheet to help you know what questions to ask your insurance provider to better understand your coverage of infertility diagnosis and treatment. Please remember, it is your responsibility to know your benefits and obtain necessary referrals to a specialist when required. Our office will assist you when precertification and prior authorization is required for special testing and procedures.

• Financial Information for Patients
• Insurance and Fertility Overview

Gynecologic Patients

Patients being seen for gynecological reasons should download and complete the following forms prior to your appointment:

• Denver Patient Registration Form
• Colorado Springs Patient Registration Form
  
• HIPAA Form
• Gynecological History Form
• Record Release – Release patient records to partner
• Record Release – Release partner records to patient
• Treatment Consent Form
• New Patient Hormone and Menopause Paperwork

Menopause Patients

Patients being seen for reasons relating to hormones and menopause should download and complete the following forms prior to your appointment:

• New Patient Hormone and Menopause Paperwork

All Patients – Medical Information Release Authorization

If you would like to transfer your medical records to another facility, please download and complete the following form and submit it to our office:

• Authorization to Release and/or Obtain Patient Information form