Patient Forms

Here you will find the important forms and instructions for our women’s health care clinic in Eugene and Springfield Oregon.

 The Fertility Center of Oregon

New Patient Forms

• Female Infertility Questionnaire
• Gynecological Medical History
• Male Infertility Questionnaire

Preop

• Preliminary Tests for IVF or ART
• Pre-Operative Instructions

Postop

• Post-Operative Instructions After Hysteroscopy
• Post-Operative Instructions After Laparoscopy
• Post-Operative Instructions After Office D&C
• Post-Operative Instructions for Major Surgery

Women’s Care OB/GYN

New Patient Forms

• Medical Records Authorization To Release Records Form

Preop

• General Pre-Operative Checklist
  

Postop

• Discharge Instructions after Hysterectomy and Vaginal Hysterectomy
  

Reproductive Endocrinology

New Patient Forms

• Female Infertility Questionnaire
  
• Gynecological Health History
• Male Questionnaire

Postop

• Post-Operative Instructions
  
• Post-Operative Instructions After Hysteroscopy
• Post-Operative Instructions After Laparoscopy
• Post-Operative Instructions After Office D&C
• Post-Operative Instructions for Major Surgery

The Continence and Support Center

New Patient Forms

• Patient Information Form

Preop

• What to Expect Before Urodynamics
  

Postop

• What to Expect After Urodynamics
  

Worksheets

• Bladder Diary

Center for Genetics & Maternal-Fetal Medicine

New Patient Forms

• Medical and Family History