Texas Fertility Center

 

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New Patient Registration Process

Insurance & Managed Care

Financing Options
Fertility Tax Credit Family Act 2011

Medical Records

Surgical Information

Patient Resources & Education

Out of Town Patients

General FAQ's

Forms

New Patient Booklet
Make a Payment

 


Forms

 

Patient Information Sheet (Online)

 Insurance Information (Online)

Patient Demographics

Insurance Information

Authorization to Disclose of Confidential Information

Acknowledgement of Review of Privacy Practices

Authorization For Release of Confidential Information (from TFC)

Authorization For Release of Confidential Information (to TFC)

Insurance Benefit Questionnaire

Notice of Privacy Practices

Email Policy

Financial Policy