RESOURCES

Intake & Consent Forms

Please print and complete the following intake forms and bring with you to your initial office appointment.

Consent Form (5 pages)

IFM XX Intake Form (female at birth)

IFM XY Intake Form (male at birth)

Notice of Privacy Practices

Click here to view our privacy practices. A physical copy may be requested at the time of your office visit.

Summary of Patients’ Rights and Responsibilities

Click here to view a summary of patient rights and responsibilities.

Requesting Laboratory Reports

You can view/print lab results via the online portal or call the labs directly to request a written copy of your results.

• Quest Diagnostics: MyQuest.QuestDiagnostics.com

• IgeneX: 800-832-3200

• Genova Diagnostics: 800-522-4762 & online portal

• Real Time Labs: 972-492-0419

• Moleculera Labs: 405-239-5250