To view and print the forms you must have Adobe Acrobat installed on your computer.

IVF Patient Forms


If you are preparing to have an IVF procedure, please fill out and print the following forms. Completed forms may be faxed to: (804) 323-0236 or mailed to:


Virginia IVF and Andrology Center
ATTN: IVF Services
9030 Stony Point Parkway
Suite 390
Richmond, VA 23235


  Patient Information Form


  Supplemental Patient Information Form


  IVF Financial Agreement


  Notice of Privacy Practices