Schedule Appointment Form

• Schedule an Appointment

New Patient Forms

The Fertility Center of Las Vegas has a patient portal where many of the patient forms can be completed online.  New patients will receive an invitation by email to register or you can access the portal by clicking the link below:

https://patientportal.advancedmd.com/account/LogOn?lk=135634

Patient Forms

• Credit Card Authorization Payment Form
• General Marketing Release Form for Patients
• Delivery Information Form
• Outgoing Medical Information Release
• Incoming Medical Records Release
• Notice of Privacy Practices

Event Forms

• Seminar Reservation Form

Others

• Egg Donor Application for EGG DONORS
• Egg Donor Database for INTENDED PARENTS
• Referring Physician Form
• Social Media Policy/Disclaimer