Fertility Center Patient Forms, Orientation & Videos
All patients of NYU Langone’s Fertility Center are required to fill out the following forms, and we also encourage you to review our orientation materials and videos.
Patient Forms
Streamline your check-in process for your first visit by printing and filling out the necessary forms below. If you have questions, please call us at 212-263-8990.
Initial Visit Forms
Additional Forms
- NYU Langone Doctor’s Visit Registration Forms and Notice of Privacy Practices
- Authorization for Request of Medical Information to NYU Langone’s Fertility Center: for releasing medical information to the NYU Langone Fertility Center
- Authorization for the Use and Disclosure of PHI: for requesting NYU Langone’s Fertility Center to release medical information
- Authorization for Release of Surgical Films: for requesting original radiology films from NYU Langone’s Fertility Center
Patient Orientation Sessions
Any patient receiving in vitro fertilization (IVF) or egg freezing at the Fertility Center must attend an orientation session before beginning their first cycle. Partners are encouraged to attend this session as well.
Please review some of our orientation materials below:
- In Vitro Fertilization
- Fertility Preservation: Egg Freezing
- Egg Thaw, Embryo Creation, and Preimplantation Genetic Testing (PGT)
Even if you used another program, the orientation session provides patients with a great deal of information on our unique policies, operational and logistic information, consent reviews, research information, and staff contact information. Most importantly, the orientation session provides a thorough review of how the medical process works, including an overview of the medications involved in the process. The orientation introduces you to our embryology lab and our medical, nursing, and andrology staff. It also provides an overview of what activities are performed in each area.
Fertility Injection Training Videos
Fertility drugs, taken through injections, are used to stimulate the ovaries to produce multiple mature eggs. This improves chances for fertilization and ultimately pregnancy. The most common medications used are called gonadotropins.
We have partnered with Freedom Fertility Pharmacy to offer a selection of online training videos that demonstrate how to self-administer various types of fertility drugs. You can view videos in , , , , and .