Coming Soon!
We have almost completed our new patient login portal. With this exciting new feature you will be able to fill out and submit your medical forms online, contact us to ask questions, refill prescriptions, receive lab results, make appointments and much more.
New Patient Guides will answer your questions and set up your appointment.
STEPS TO PREPARE FOR YOUR CONSULTATION:
Complete PFC forms and return them PRIOR to your appointment.
Ensure the delivery of your fertility-based medical records to Pacific Fertility Center PRIOR to your appointment.
Information submitted prior to your appointment enables the doctor to gain a better understanding of your fertility history, allows them to address your specific situation and helps prevent unnecessary repeat testing.
PFC - NPG
55 Francisco Street, Suite 500
San Francisco, CA 94133
These forms require Adobe Acrobat Reader 8 to work correctly. To download Acrobat 8 for free, click the link or icon above.
B.
MEDICAL RECORDS TRANSFER
Complete and fax to your CURRENT physician's office ASAP.
C.
PFC REQUIRED FORMS
Complete and send applicable forms to Pacific Fertility Center.
D.
INFORMATIONAL DOCUMENTS FOR NEW PATIENTS:
E.
OPTIONAL FORMS FOR CURRENT OR RECENT PATIENTS:
F.
CONTACT INFORMATION:
Address:
New Patient Guides
Pacific Fertility Center
55 Francisco Street, Suite 500
San Francisco, CA 94133
Fax: (415) 834-3080
Phone: (888) 834-3095
(415) 834-3095
Current patients, please call (415) 834-3000
Form Instructions:
These forms require Adobe Acrobat Reader 8 to work correctly. To download Acrobat 8 for free, click the link or icon above.
Instructions for filling out these forms:
1. Open the forms in Adobe Acrobat Reader 8 and you can fill in the forms online. You can save email and/or print the forms.
2. If you email the forms to us, depending on the setup of your system, you will usually be asked what type of email program you are using (e.g. a desktop application such as Outlook, or web email such as Hotmail or Yahoo Mail). Also, when you email the form to us only the data gets sent, not the form.
2. If you wish to fill out the forms by hand, open the forms with Adobe Acrobat Reader 8, print the blank forms and and type or write your responses in black ink (it reproduces better). Then fax or mail the completed document(s) to us at the fax number and address listed above.
