Forms and Handouts
Right-click to save any of these forms/handouts.
Treatment Consent Forms
Consent documents must be signed by the patient and partner (if applicable) prior to each treatment cycle. Consent documents may be returned in the office, faxed to (646) 962-0329 or emailed to firstname.lastname@example.org.
Please feel free to contact the office by telephone with any questions:
- Justine Witzke, MPH: (646) 962-3235
- Rodriq Stubbs, NP: (646) 962-3276
- Mitasha Joseph, RN, MPA: (646) 962-3382
Fertility Preservation (Egg Freezing)
Frozen Embryo Transfer
Frozen Sperm Consents
Handouts and Class Slides
- Initial Information Packet
- Recipient Genetic Testing Packet
- Prep Cycle Packet for Patient with Partner
- Prep Cycle Packet for Single Patient