In an effort to ease our patients’ experience with us, we’ve created this patient form section to house forms and other important information you may need. As opposed to filling out any forms at our office, you can print out any required forms here and fill them out at your own home. If you’ve misplaced any forms given to you, you will find them in this section.
To view the forms on this page you will need an Adobe Reader installed on your computer which you can download here if you do not have it. If you need any assistance or have any questions, please feel free to call us at 505-248-0000.
HIPAA
Patient Consent Form for Notice of Privacy Practices PDF
(English) HIPAA Privacy Policy
(Spanish) HIPAA Privacy Policy
Medical Release
Authorization to Release Medical Information PDF
Termination of Embryo Storage
Termination of Embryo Storage – Directive
Note: This form requires a notary, click the links below for e-notary options:
https://www.notarize.com/solutions/individuals
https://www.notarycam.com/pricing/