*Forms require Adobe Acrobat Reader - click here here to download a free version
Please download and complete all forms, including both the male and female history forms. It is helpful to return these completed forms to our office prior to your initial visit as it enables Dr. Chin to review your medical history in advance of your appointment. If you should have any questions regarding these forms, please call our office at 513-326-4300 and speak with Melinda at extension 567.
(IT MANDATORY THAT YOU COMPLETE THE FERTILITY LIFELINES INSURANCE BENEFITS VERIFICATION FORMS AND RETURN THEM TO US WITHIN 48 HOURS.)
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