Infertility Patient Information - Forms

Welcome to the Dallas Fertility Associates patient information library. This page links to several standard practice forms and other patient information and educational resources.
Our office will advise which forms need to be completed. All new patients must complete the "Patient Information Form" and the "New Patient Questionnaire". The forms listed below are available on-line in Acrobat PDF format.*

New Patient Forms

• Patient Information Form
  
• New Patient Questionnaire
  
• Privacy Notice/Financial Policy
  
• Cystic Fibrosis Policy

IVF- Patient Information and Education

• IVF Information
• IVF Patient Instructions
• ICSI Patient Handout from the ASRM*
  
• Natural Cycle Lupron IVF Calendar
  
• Birth Control Pills- Lupron IVF Calendar
  
• The Microflare Protocol
  
• What are the Risks of IVF from the ASRM*

General- Patient Information Forms

• Donor Insemination Information
• Ovulation Induction with Gonadotropins
• Gonadotropin Fact Sheet from the ASRM*
• Hysterosalpingogram (HSG)
• Hysteroscopy
• LH-Timed Insemination
• The Post Coital Test
• Retrieval Instructions
• Preimplantation Genetic Diagnosis
• Embryo Transfer Instructions

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