The Ronald O. Perelman and Claudia Cohen "Center for Reproductive Medicine" - of Weill Cornell Medical College

Forms and Handouts

Right-click to save any of these forms/handouts.

Medical Records

Pharmacy List

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

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


Ovulation Induction

Donor Egg

Donor Sperm