Forms

We use our patient forms to obtain your health history. Your health information assists us in finding the best way to treat your infertility. Please fill out each form completely. The more information we have the faster we can help you. Click on the form you'd like to download and print. You'll need a .PDF file reading program, like Adobe Reader. Get the free Adobe Reader download here http://www.adobe.com. Contact us with any questions regarding our forms.

• Female Patient History Form
• Male Patient History Form
• Patient Update Form
• Gynecology Female Patient History
• Authorization to Release Information
• Disclosure of Medical Records to Partner and/or Patient
• No Show Policy

Contact the Gyft Clinic for affordable fertility and gynecology services. Schedule an appointment at 253-777-1964.