Phone (813) 914-7304 - 8:30 a.m. and 5 p.m. EST

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Recommended Links
Sandy Goodman, M.D. Timothy Yeko, M.D. Samuel Tarantino Jr., M.D.
Marc Bernhisel, M.D. Betsy McCormick, M.D.


Patient Information and Forms

The staff at the Reproductive Medicine Group has compiled a number of forms and useful information for our patients to read and complete in the privacy of their own home. Should you be asked to complete a form by our staff, you will be able to find it in this section. To view these forms, you will need an Adobe Reader installed on your computer. If you do not have the Adobe Reader, you can download the latest version by clicking on the Adobe picture below and following the set of instructions.

  1. Patient Checklist Prior to Appointment

  2. Infertility History Form

  3. Notice of Privacy Practices

  4. Notice of Privacy Practices Acknowledgement

  5. Patient Release to Discuss Treatment Results

  6. Release of Patient Medical Records to RMG

  7. Release of Patient Medical Records from RMG

  8. Preconception/Prenatal Screening Recommendations

  9. Printable Maps to our Locations