Patient Forms & Paperwork

Please complete the following forms and paperwork prior to your appointment at Loma Linda University Center for Fertility.

  1. Female Infertility Patient Questionnaire
  2. Credit Card Authorization Form
  3. Authorization for Disclosure of Protected Health Information
  4. For egg donors only: Egg Donation Program Paperwork

If you have any questions, please contact our office.

Sign up for our patient portal

Register for our patient portal, MyLLHealth, before your initial consultation and you’ll receive a $100 discount on your appointment costs (for self-pay patients only; discount does not apply to patients covered by insurance).

Patient portal benefits include less paperwork time and secure communications with your doctor.

Patient Portal: Register or Sign In

Don’t want to use the patient portal?

If you choose not to use our patient portal, you can still save time on the day of your appointment by downloading the following forms and filling them out before you come to our office.

For patients:

Female Infertility Patient Questionnaire

Credit Card Authorization Form

Authorization for Disclosure of Protected Health Information

For egg donors:

Egg Donation Program Paperwork: for donors