New Patient Forms - Arizona

Starting Your Arizona Infertility Treatment

An important part of medical treatment is obtaining information and keeping accurate records. We know it may seem like a hassle to fill out paperwork before you come to the clinic, but it really is crucial to your treatment for Dr. Hutchison to get a complete picture of what’s going on with you and your health. So please think of paperwork as the first step toward creating your family.

It’s useful to have the forms completed before you come for your appointment, so you can have your full hour with Dr. Hutchison on that day. Additionally, by sending the forms ahead of time, Dr. Hutchison is able to “do his homework” by reviewing your forms before he sees you. Before your appointment, please print, complete, and fax the following forms to us at 520-733-0771: or email the forms to

Patient Acknowledgement: 2017_Patient_acknowledgement_HIPAA
Spouse or Partner Acknowledgment: 2017 Spouse or Partner Acknowledgment
HIPPA Notice of Privacy Practices: 2017 Privacy Practices
Payment of Services: 2017_Payment of Services
Guidelines: 2017 Patient Guidelines
Infertility Nutrition Risk Screening: 2016 Infertility Nutrition Risk Screening
Female: 2016 Female Pt Hx
Male: 2016 Male Pt Hx

Or to fill out online click here
New Patient Form: Female History Form
New Patient Form: Male History Form

If you have any questions about these forms, please feel free to call our office. Our staff will be happy to help you figure everything out. We know that starting your Arizona infertility treatment may seem overwhelming at first, but we’re dedicated to helping you through the process and helping you feel as comfortable as possible throughout. Please don’t hesitate to ask for our help!