Patient Paperwork and Resources
For your convenience, all of our patient paperwork and educational resources can be found on our Artemis Patient Portal App or below. If you have any questions or issues completing your paperwork please reach out to your care team. Click the links below to jump to the section you'd like to navigate to.
Every patient who comes to RMA Florida for fertility care must complete and submit a medical intake form. This medical history will allow your physicians and care team to make the most accurate assessments concerning your fertility status and devise the most effective treatment plans possible. Select the intake form that most appropriately describes you as a patient. Couples seeking services will need to complete patient intake forms for each partner.
Please review and complete the appropriate forms, then return them to our office one to two weeks prior to your first appointment. You may fax them to our office or drop them off in person.
HIPAA PRIVACY POLICY
All patients and partners must complete an intake form and all consent forms prior to your New Patient or Restart Patient Consultation. You can complete these forms by using RMA's Artemis Patient Portal App.
Each patient who visits RMANJ must complete and submit a medical intake form. These medical histories allow our physicians to accurately assess your fertility status and devise the most appropriate treatment plans. If you are seeking our services as a couple, each partner must complete his or her intake form.
Please complete the appropriate forms and return them to our office 1-2 weeks before your new patient appointment.
You can complete these forms by using RMA's Artemis Patient Portal App.
HIPAA PRIVACY POLICY
Click here to download the form.
POLICY REGARDING AGE AND INFERTILITY TREATMENT
Click here to download the form.
CHILDREN IN THE WAITING ROOM POLICY
While creating families is RMA’s mission, your care is our #1 priority. For this reason, we ask that you please refrain from bringing children to appointments. This helps to ensure that the time you spend with your care team is completely focused on you and your journey and allows us to provide you with the best possible care.
We do our best to provide an environment sensitive to those trying to conceive. Please understand that the presence of children can also be distressing to those still working hard to make their dreams come true.
We are sensitive to the many emotions of infertility and appreciate our patients’ showing understanding by making separate childcare accommodations.
Each patient who visits RMA is directed to complete and submit a medical intake form. These medical histories allow our physicians to make the most accurate assessments of your fertility status and devise the most appropriate treatment plans. Please select the intake form that most accurately reflects you as a patient. If you are seeking our services as an individual or couple, each partner in the couple must complete his or her own intake form.
Please complete the appropriate forms and return them to our office 1-2 weeks before your new patient appointment.
HIPAA PRIVACY POLICY
Click here to download the form.
CHILDREN IN THE WAITING ROOM POLICY
While creating families is RMA’s mission, your care is our #1 priority. For this reason, we ask that you please refrain from bringing children to appointments. This helps to ensure that the time you spend with your care team is completely focused on you and your journey and allows us to provide you with the best possible care.
We do our best to provide an environment sensitive to those trying to conceive. Please understand that the presence of children can also be distressing to those still working hard to make their dreams come true.
We are sensitive to the many emotions of infertility and appreciate our patients’ showing understanding by making separate childcare accommodations.
Each patient who visits Reproductive Medicine Associates of Northern California is directed to complete and submit a medical intake form. These medical histories allow our physicians to make the most accurate assessments of your fertility status and devise the most appropriate treatment plans. Please select the intake form that most accurately reflects you as a patient. For instance, if you are struggling to conceive for the first time or have experienced multiple miscarriages, please select the Female Medical Intake form. If you are interested in Egg Freezing, please select the Elective Fertility Preservation form. If you are seeking our services as a couple, each partner in the couple must complete his or her own intake form.
Please complete the appropriate forms and return them to our office 1-2 weeks before your new patient appointment. They may be faxed to 415-644-0124 or dropped off in person. If you would like to send them electronically, please contact our patient liaison team for a secure email link at 415-603-6999.
HIPAA PRIVACY POLICY
All patients and partners must complete an intake and all consent forms before your New Patient or Restart Patient Consultation. You can complete these forms by using RMA's Artemis Patient Portal App.
We recommend that you request any pertinent medical records from your care providers and have them sent to the office of your scheduled appointment. Our contact information is in your Welcome Email.
HIPAA PRIVACY POLICY
All patients and partners must complete an intake form and all consent forms prior to your New Patient or Restart Patient Consultation. You can complete these forms by using RMA's Artemis Patient Portal App.
Every patient who comes to RMA Southern California for fertility care must complete and submit a medical intake form. This medical history will allow your physicians and care team to make the most accurate assessments possible concerning your fertility status, and this helps them devise the most effective treatment plans possible. Select the intake form that most appropriately describes you as a patient. Couples seeking services will need to complete patient intake forms for each partner.
Please review and complete the appropriate forms, then return them to our office one to two weeks prior to your first appointment. You may fax them to our office or drop them off in-person.
HIPAA PRIVACY POLICY
Click here to download the form.
PATIENT NON-DISCRIMINATION-POLICY
Make an Online Payment
You can use this portal to make payments on existing statements or to submit payment on your account for future services. After entering your name and payment amount below, you will be redirected to our secure payment page where you will be asked to complete a simple form to submit payment. We ask that you fill out the requested information completely, including a valid e-mail address and daytime contact phone number.
NOTICE: By selecting this link, you will be leaving www.rmanetwork.com and entering a website hosted by PayJunction.com. Although RMA has approved payjunction.com as a reliable partner site, please be advised that you will no longer be subject to the privacy and security policies of www.rmanetwork.com’s website.
Please make sure that you are making your payment for the correct office. If your payment is submitted under the wrong account it will delay the processing of your payment.
Please note that RMA is no longer accepting AMEX and Discover. If you try and submit payment with AMEX or Discover, it will be declined. Please use another form of payment.
RMA Northern California: Pay your office bill
RMA Southern California (Los Angeles): Pay your office bill
RMA Southern California (Burbank): Pay your office bill
RMA Southern California (Laguna Hills): Pay your office bill
RMA Southern California (Mission Viejo): Pay your office bill
RMA Southern California (Newport Beach): Pay your office bill
RMA Southern California (San Diego): Pay your office bill
RMA Colorado (Conceptions): Pay your office bill
Wilmington Fertility Center: Pay your office bill
RMA Florida: Pay your office bill
RMA Lehigh Valley
Office Bill
RMA Philadelphia
Office Bill
Surgical Bill
RMA Houston: Pay your office bill
RMA Seattle: Pay your office bill