Patient Forms

This area provides online forms which you can complete online and submit to orh@fertileweb.com, or download, complete, then return by fax, email, or mail.

For New Patients

Please print, fill out, and return appropriate information packet to the clinic at least 72 hours before your first appointment. If we do not receive the paperwork before your first appointment there is a chance that your appointment will have to be rescheduled to a later date.

If you are trying to conceive at the present time, please complete:

If you are not trying to conceive at the present time, please complete:

Additional Questionnaires and Forms

If you are already a patient of Overlake Reproductive Health, and have been asked to fill out a new questionnaire you may select the appropriate link below. Again, please return the filled questionnaire to us before your appointment so the medical staff may review it before you arrive for your appointment.

If you are trying to conceive at the present time, please complete:

If you are not trying to conceive at the present time, please complete:

If you suffer from significant pelvic pain, please also complete:

To request records to be sent to or from the office please complete and submit the appropriate form below (please allow 10-14 days for your request to be processed):

Some helpful hints to help you deal with the wait between your transfer/insemination and the pregnancy results