New Patient Information

The Northwestern Medicine Center for Fertility and Reproductive Medicine team provides patients with the necessary new patient consent forms and additional information about appointments to help make your fertility appointment as convenient as possible. 

Please fill out our required new patient forms (New Patient Health History Form and New Patient Preoperative History Form) and return them to our office one week prior to your appointment date. You can return the forms to us by:

1. MyNM Patient Portal (preferred)
2. Email: [email protected]
3. Fax: 312.695.4924

​New Patient Forms
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• New Patient Health History Form: An in-depth look at your past medical history, family health history, and, if applicable, your partner's health history. 
  
  
• New Patient Preoperative History Form: Your medical history – required for your first appointment.

Referring Provider Requisition for Semen Analysis

• Semen Analysis Requisition Form: A semen analysis involves checking a sample of semen for overall sperm health.

Appointment Information

What can I expect at my first appointment? 

Prior to your first visit, we will mail you a welcome packet, which includes information about our practice, medical release forms, and a health history questionnaire. We request that you complete the questionnaire prior to your first visit and bring the completed form with you.

Much of the first visit will be spent reviewing your past medical history. Therefore, it is beneficial to have this information prior to your visit. Medical records can be faxed to us at 312.695.7269 or you can bring them with you. If you are being evaluated for fertility, it may be beneficial to bring your partner (if applicable) with you so relevant history can be obtained from both of you. 

A physical exam and ultrasound may be performed during your first visit. Your evaluation will only include tests that are relevant to your (and your partner’s) history; this will save you time and expense. You will also have the opportunity to meet with one of our highly trained financial counselors who will help you navigate the costs, insurance coverage, and payment options.

Your Evaluation

The basic evaluation for most patients desiring pregnancy generally takes a short time to complete. Your evaluation may include:
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• Hormone testing to assess ovarian reserve and document ovulation
• Your partner may need to schedule an appointment to provide a semen sample for analysis
• You may need to schedule an appointment for a hysterosalpingogram (HSG), which is an X-ray procedure to assess the uterus and fallopian tubes
  
  

Common causes for infertility include male factor, failure to ovulate, blocked fallopian tubes, a decreased number of oocytes (eggs), endometriosis, and fibroids. Many couples have unexplained infertility. 

How Do I Return My Forms?

After you complete your forms, either print and bring them to your next appointment or fax our office at 312.676.0000.

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To Request an Appointment

We offer access to world-class care, closer to home. Visit us at one of our four locations in the Chicagoland area: Chicago, Geneva, Highland Park, or Oakbrook Terrace.

Visit our Locations & Appointments page for more information.

REQUEST APPOINTMENT

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New Patient Resources

To learn more about your fertility cycle, getting pregnant and pre-treatment testing, please review our new patient resources. 

DOWNLOAD PACKET

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SIX MYTHS ABOUT INFERTILITY

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RECURRENT PREGNANCY LOSS CLINIC

Recurrent pregnancy loss can be physically and emotionally difficult. At the Northwestern Medicine Recurrent Pregnancy Loss Clinic, we help people become parents by offering comprehensive care that addresses both their medical and psychological needs.