New Patient Paperwork

We offer our patient forms online for your convenience. In order to save you time and alleviate a lengthy registration process, we ask that you complete your new patient paperwork prior to your appointment day and time.

To complete these forms electronically:

1. Download the new patient paperwork packet and save it to your computer (this first step is crucial to allow for an electronic signature.)
2. If you do not already have AdobeReader® installed on your computer, click here to download.
3. Open the saved paperwork using AdobeReader® and fill in the required information completely, including your digital signature.
4. Return to our office via secure email (medrec@mrivf.com), fax (616-988-2010 for Grand Rapids, Mason, or Traverse City patients; 269-324-5041 for Kalamazoo patients), or mail to our Eagle Park or Kalamazoo offices prior to your first appointment.

Please note, should you choose not to sign these forms electronically, you are required to have them notarized where specified.

If another physician has performed medical testing or any surgery, it is very important that a copy of the test results and operative reports are forwarded to our office before your appointment. We are able to electronically access patient records from providers within Spectrum Health, Trinity Health, Sparrow, University of Michigan Health – West (Metro Health), Michigan Medicine/University of Michigan, or Bronson. If your provider who performed your testing or surgery is within one of these systems, you do not need to request these records ahead of time. Otherwise, you can find a “Request for Release of Medical Records” available under the ‘Medical Records’ tab. Please sign, date, and include your social security number and date of birth on this form and forward to the physician who performed the tests and/or surgery. Do not forward this release to our office.

New Patient Forms