Patient Forms

Medical Release Form

If you had any prior infertility tests or treatments, we would like to review your medical records prior to your initial appointment. Please contact the medical facility(s) where you were treated and have your medical records forwarded to us.

Medical Release Form

Registration Form

Please fill out the Registration Form using a computer if possible. Once completed, send the form to us by either clicking the "Email to Bay IVF Center" button or filling the form out, saving it (Acrobat Reader 8 or newer), and emailing it to us as an attachment. If you are unable to fill out the form on your computer, please fax the filled out form to us. (fax: 650-322-5404)

State and FDA Mandated Pathogen Testing Requisition Form

The required male and female pathogen testing for IVF, Soft-IVF™, Egg Donation (does not apply to egg donor), Gender Selection, and Genetic PGD is typically done and billed by an outside laboratory of your choice.

Please make two printouts of the form below, one for you and one for your partner. Fill in the date and your names and take them to a laboratory of your choice. Have the laboratory mail/fax/email the results to us.

If you have not been tested for any of the required pathogens within the last 12 months, please select all the listed tests. Tests completed within the last year do not have to be repeated; instead have the laboratory forward the test results to Bay IVF Center.

Pathogens Requisition Form

Laboratory Testing Requisition Form

Please make a printout of the form below, fill in the date and your name and take them to a laboratory of your choice. Have the laboratory mail/fax/email the results to us.