New Patient Forms
If you decide to become a patient of NFC, please fill out our new patient forms prior to making an appointment. There are several ways of completing this process:
Once your completed forms are received by NFC, our New Patient Coordinator will contact you promptly to schedule a new patient appointment.
Please note: If you are completing the information on the web page you will still need to mail us your medical records from your previous physicians. See the link below for the Medical Records Release Form that you may print and send to your previous physicians.
Your first office visit will include:
If your problem is not related to infertility, please fill out these information forms to the best of your ability and knowledge. The information provided will help us to provide you with the best care. If you are a male needing a semen analysis only – please complete the male form only. If you and your partner are scheduling a new patient appointment, we need you and your partner to complete the forms.
Please Note: We treat as a couple, BOTH partners must complete the appropriate forms below.
Release of Medical Records Form