First Appointment Forms
Please complete these forms and bring to your first appointment.
Female Patient History
Male History (if applicable)
Medical Records Release
It is important for us to have you and your partner’s (if applicable) past medical records at the time of your first visit. If you cannot bring your records at the time of your first visit, we kindly ask that you and your partner (if applicable) complete and fax back your medical record release form. Please fax this information to (513) 585-3098
Visit our First Appointment
page to learn more.
Donor Profile Forms
Female and male donors please complete the below form and email to Damita Mason at Damita.Mason@uc.edu
. If you have any questions please contact our office at (513) 585-2355
FemaleDonorForm (right click on link to download form)
MaleDonorForm (right click on link to download form)