You can download and print out the appropriate forms below to maximize your time at our facilities.  You must first have Adobe Acrobat installed on your computer.

Patient Registration Form (pdf)
All new IECH patients require this form.  You may print and complete the form before coming to your first appointment.

New Patient History Form (pdf)
This form is required to be filled out by the patient prior to the first consultation with an IECH doctor. Please print and complete the form before coming to your first appointment.  You will describe your general medical history and any previous attempts to become pregnant.  We also require that your spouse provide his/her medical history and any infertility treatments you both have undergone.

Egg Donor Application (pdf)
This application form is required for women who desire to participate in the IECH Egg Donor Program. You may print and complete the form, which can be mailed or faxed to the IECH Fertility Center in Monterrey. Fax +52 (81) 8347-2040.

If you have any questions or would like more information regarding the Egg Donor Program, please call us toll free (within Mexico) at 01 800 823-2842, or toll free (outside Mexico) at 1 866 764-9814 or Ask the Doctor a Question.