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

Informational Forms

Additional Forms

For patients of Madison Women’s Health and Fertility at NYU Langone’s Fertility Center:

If you are requesting HIV-related information, you need to complete official New York State Department of Health Required HIV-Related Consent and Authorization Forms.

Patient Orientation Sessions

Any patient undergoing in vitro fertilization (IVF) or egg freezing at the Fertility Center must attend an on-site orientation session conducted by our nursing staff before beginning the first cycle. Partners are encouraged to attend this session as well. 

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. 

Financial information is presented by our billing staff. They review each patient’s financial responsibilities relative to the specific benefit for medications and the cycle process. 

To provide you with additional review of this information, the orientation presentation is now available online. Please note that this availability does not eliminate the need to attend an on-site session. 

Please select the appropriate presentation to review: 

Fertility Injection Training Videos

Fertility drugs, taken through injections, are used to stimulate a woman's 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 English and Spanish.