Texas Fertility (TF) - Dallas, TX - Advanced infertility services, including IVF, provided by Al Rodriquez, MD in Dallas, Texas and Plano, Texas. Services include IVF, GIFT, TET, ICSI, donor egg, surrogate program, treatment for Endometriosis, male factor, etc. -- Presbyterian Healthcare, Plano and Dallas Texas. Texas Fertility (TF) - Dallas, TX - Advanced infertility services, including IVF, provided by Al Rodriquez, MD in Dallas, Texas and Plano, Texas. Services include IVF, GIFT, TET, ICSI, donor egg, surrogate program, treatment for Endometriosis, male factor, etc. -- Presbyterian Healthcare, Plano and Dallas Texas.
Infertility | IVF | Artificial Insemination | Fertility Drug Ovulation | GIFT
Tubal Reversals | Endometriosis | TET | ICSI - etc.

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Patient Forms
 

Texas IVF requires that all patients fill out basic forms so that we may serve you to the best of our ability. To properly display the forms, the Adobe Reader is required.  Please Click Here for the latest Adobe Reader.

Once downloaded, please print and fill out the required forms. Please also have a third party witness and sign the forms.  Fax the completed forms to our offices at 972-981-7814 before your initial appointment.


Initial Visit Forms:

Patient And Family History Form

Patient Information Record Form

Authorization To Release Medical Records

Insurance Information Form

Financial Policy Form

Please call our office at 972-981-7800 with questions, or Click Here to fill out our automated contact form which will be sent directly to our office staff.
(972) 981-7800 | Toll Free 1-866-IVF TEXAS (1-866-483-8392) | E-mail: ajrodriguez@texasivf.com