Patient Forms

Welcome to IVF Plano, and the most direct route to getting pregnant. Thank you for completing your forms prior to your first visit with Dr. James Douglas. Having health history information enables your fertility specialist to prepare to have a purposeful conversation so you can move quickly to diagnosis and fertility treatment.

Please download and complete the forms below and bring them to your first appointment.

Thank you,

Dr. Douglas and staff

Please click here New Patient Forms Bundle to print all 8 forms at one time.

To print individual forms please click the desired form below.

• New Patient Registration Form
• Patient Medical History
• Dear Patient Letter
• Receipt of Privacy Notice
• Notice of Weekend Charges
• Authorization for Payment of Benefits
• Medical Information Release Form – Wife
• Medical Information Release Form – Husband

Additional Forms

• Photo Release
• Letter Requesting Predetermination of Benefits
• Letter Requesting Predetermination of Drug Coverage
• Request for Release of Medical Records
• Medical Records Fee
• Pharmacy Information Form

Please contact us for more information about preparing for your first visit to our Plano fertility clinic.