Patient Forms - The Axelrad Clinic for Natural Fertility Enhancement and Women's Health

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Patient Forms

Please download, print, and fill these out before your first visit.

Fertility Patient Form Packet (Female)

These are the initial intake forms for fertility patients.

Women's Health Patient Form Packet

These are the initial intake forms for new patients seeking help with non-fertility, women's health issues.

General Patient Form Packet

These are the initial intake forms for patients seeking help with male-factor issues or women seeking general health guidance. We are currently revising our male factor forms and will post them soon.

Laboratory Testing HIPPA Release Form

If you are a remote patient and we have ordered a lab test on your behalf, you must download, print, and fax this form to the lab so they will release the results to us.

BBT (Basal Body Temperature) Tracking Chart

A helpful chart for patients wishing to track their basal body temperature (BBT). The BBT can be useful for determining ovulation time, as well as determining if the length of the follicular and luteal phases are appropriate.

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