IVF Clinic Program Information Request Form

Start Your Fertility Journey with Confidence

Exploring IVF options is a deeply personal decision, and finding the right clinic starts with getting the information you need. This IVF Clinic Program Information Request Form helps fertility clinics provide personalized program details to prospective patients while gathering essential background information to ensure consultations are as productive as possible.

Why fertility clinics need this form

For reproductive health centers, endocrinology practices, and IVF specialists, this form serves as the critical first touchpoint with prospective patients. It captures key details about diagnosis or concerns, treatment history, insurance coverage, and age—all factors that influence treatment planning and program eligibility. By collecting this information upfront, your clinic can:

• Send tailored brochures and information packets that match each patient's specific situation
• Prepare consultations with relevant background context
• Route inquiries to the right specialists within your practice
• Begin building trust through a warm, professional intake experience

Designed for compassionate patient care

The form balances medical necessity with sensitivity. Questions are clearly worded but respectful of the emotional nature of fertility challenges. Conditional logic ensures patients only see relevant follow-up questions, and the scheduling field lets them book an initial consultation directly—reducing friction and accelerating their journey from inquiry to care.

Paperform's healthcare-friendly features make this template ideal for IVF clinics and fertility centers. Connect your calendar for seamless appointment booking, use Papersign (papersign.com) to send consent forms and treatment agreements for eSignature after consultations, and trigger Stepper (stepper.io) workflows to automatically send personalized information packets, add leads to your CRM, and notify the right care coordinator based on diagnosis or insurance status.

Streamline your patient intake workflow

This template integrates naturally into your clinic's existing tech stack. Send inquiries to your patient management system, trigger automated email sequences with educational content, and use Paperform's AI Insights to identify common questions and concerns across submissions—helping your team refine messaging and improve the patient experience over time.

Trusted by healthcare providers worldwide and SOC2 Type II compliant, Paperform gives fertility clinics a professional, secure and flexible way to welcome new patients and share program information that truly helps them make informed decisions.