We look forward to welcoming you to UNC Fertility. To allow you to relax before your first appointment and decrease your waiting time, we recommend that you provide us with as much information as possible prior to your visit. The forms available on this page will help us to get to know you better and enable us to provide the best possible care for your unique needs.
Please download and complete any applicable forms below and bring them with you to your visit. If you have one, please be sure to include your referring physician’s name and contact information.
In advance of your appointment, please arrange to have any medical records relating to the evaluation and treatment you or your partner may have previously received faxed to our office at: 919-596-6147
If at any time you need further assistance, a member of our office staff will be happy to help you. Simply call 919-908-0000.
New Fertility Patient
- New Patient Intake Profile
- Patient Registration Form
- New Patient Survey
New Gynecological Patient
*Please allow 3-5 business days for records to be processed and sent to the facility of your choice. Federal holidays may delay process time.
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