Patient Resources¶
📋 Resource Overview¶
This page provides various forms, documents, and information resources that patients need, including downloadable forms, clinic introductions, doctor profiles, and other important materials.
📥 Form Downloads¶
📋 Required Forms¶
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Patient History & Physical Form
Detailed patient medical history and physical examination form
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New Patient Information Form
Basic information collection form for new patients
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Credit Card Authorization Form
Payment authorization and financial information form
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Follow-up Call Template
Patient follow-up and appointment reminder template
📄 Form Instructions¶
Patient History & Physical Form Guidelines:¶
- Completion Time: Complete before initial visit to save appointment time
- Important Reminder: Please fill out all medical history information truthfully
- Language Version: Available in bilingual versions
- Submission Method: Can be emailed or brought to appointment
Pre-completion Checklist:¶
- Prepare previous medical records
- Collect family medical history information
- Organize current medication list
- Confirm insurance information
- Prepare spouse-related information
🏥 Clinic Information¶
🌟 Incinta Fertility Center Overview¶
🏆 Clinic Advantages
• Professional Team: Experienced reproductive medicine specialists
• Advanced Equipment: Latest medical technology and laboratory equipment
• Personalized Service: Customized treatment plans for each patient
• Multilingual Support: Bilingual medical services available
• High Success Rates: Meeting or exceeding national average success rates
Basic Clinic Information:¶
📍 Location:
📞 Contact Information:
- Main Phone: 424-212-4087
- Fax: 424-212-4088
- Email: contact@incintafertility.com
- Website: www.incintafertility.com
⏰ Operating Hours: - Monday - Friday: 7:30 AM - 5:00 PM - Saturday: By appointment (monitoring and procedures) - Sunday: Emergency situations and special appointments - Holidays: Emergency contact service
🅿️ Transportation & Parking:¶
Parking Information: - Free parking lot located in front of the clinic building - Ample parking spaces, no reservation required - Handicapped parking spaces available - Parking lot open 24 hours
Public Transportation: - Multiple bus routes available - Approximately 2 miles from Del Amo Metro Station - Convenient Uber/Lyft access - Approximately 30 minutes from airport
👨⚕️ Medical Team Introduction¶
🩺 Dr. Khorram - Director of Reproductive Endocrinology¶
📚 Professional Background
• Position: Director of Reproductive Endocrinology
• Experience: 30+ years of clinical experience in reproductive medicine
• Specialization: Complex fertility issues, IVF, PGD/PGS
• Education: UCLA School of Medicine
• Certification: American Society for Reproductive Medicine certified
Areas of Expertise: - Complex fertility diagnosis and treatment - High-complexity IVF cases - Recurrent pregnancy loss treatment - Ovarian function assessment - Male infertility diagnosis and treatment
👩⚕️ Dr. Lin - Reproductive Medicine Specialist¶
🎯 Professional Specialization
• Specialization: Female fertility preservation, egg freezing
• Research Focus: Reproductive endocrinology, assisted reproductive technology
• Clinical Experience: 15+ years of professional experience
• Patient Demographics: Young women, cancer patients, career professionals
👩⚕️ Dr. Xie Yufen - Bilingual Specialist¶
🌏 Multicultural Service
• Language Skills: Fluent in Chinese and English
• Cultural Background: Deep understanding of Asian patient needs
• Service Features: Personalized Chinese-language medical services
• Patient Recognition: Highly regarded in the Asian community
Service Advantages: - Barrier-free communication - Understanding of cultural differences and preferences - Chinese medical interpretation services - Assistance with family decision-making process
🎁 Promotional Resource Introduction¶
💎 Current Promotional Activities¶
🔥 Limited Time Special Packages¶
$99 Fertility Assessment: - AMH blood test (valued at $170) - 15-minute specialist consultation - Fertility assessment report - Personalized recommendations
$350 Female Fertility Evaluation:
- Specialist consultation (valued at $150)
- AMH blood test (valued at $170)
- Ultrasound examination (valued at $230)
- Comprehensive assessment report
$150 Semen Analysis Package: - Complete semen analysis - Professional report interpretation - Improvement recommendations
📊 Treatment Package Introduction¶
🧬 IVF Treatment Packages¶
Single Cycle IVF Package Features: - Full medical team support - Includes all basic tests and procedures - First year embryo storage free - 24/7 emergency contact service - Personalized medication protocols
Package Price Advantages: - Save 30-40% compared to individual billing - Transparent pricing, no hidden fees - Multiple payment options available - HSA/FSA account accepted
❄️ Fertility Preservation Packages¶
Egg Freezing Package: - Suitable for young professional women - Complete medical monitoring - Advanced freezing technology - Long-term storage options
Embryo Freezing Service: - Couple fertility preservation - Pre-cancer treatment protection - High-quality embryo storage - Flexible usage timing
📞 Contact Information Summary¶
🏢 Department Contact Information¶
| Department | Phone | Hours | |
|---|---|---|---|
| Main Office | 424-212-4087 | contact@incintafertility.com | Mon-Fri 7:30AM-5PM |
| Appointments | 424-212-4087 | appointments@incintafertility.com | Mon-Fri 8AM-6PM |
| Financial | 424-212-4087 | financial@incintafertility.com | Mon-Fri 9AM-5PM |
| Nursing | 424-212-4087 | nursing@incintafertility.com | Mon-Fri 8AM-4PM |
| Laboratory | 424-212-4087 | lab@incintafertility.com | Mon-Sat 7AM-3PM |
🚨 Emergency Contact¶
24-Hour Emergency Hotline: - Main emergency phone: 424-212-4087 - Automated system will connect to on-call medical staff - For severe emergencies, please call 911 directly - Emergency situations include: severe bleeding, severe abdominal pain, severe allergic reactions
💻 Online Resources¶
Official Website Resources: - Treatment information and educational materials - Online appointment system - Patient portal login - Latest activities and news
Social Media: - Facebook: @IncintaFertility - Instagram: @IncintaFertilityCenter - YouTube: Incinta Fertility Center - LinkedIn: Incinta Fertility Center
📚 Educational Resources¶
📖 Fertility Education Materials¶
Educational Resources: - Comprehensive IVF Guide - Fertility Preservation Handbook - Male Fertility Health Guide - Pre-conception Checklist
🎥 Video Resources¶
Treatment Process Videos: - Complete IVF treatment process introduction - Egg retrieval procedure explanation - Embryo transfer step demonstration - Medication injection instructional videos
Doctor Lecture Recordings: - Importance of fertility assessment - Age effects on fertility - Lifestyle and reproductive health - Latest reproductive technology introduction
💡 Patient Service Tips¶
🎯 Pre-visit Preparation Suggestions¶
First Visit Preparation: 1. Arrive 30 minutes early at the clinic 2. Bring all required documents and forms 3. Prepare a list of questions 4. Bring spouse or support person 5. Wear comfortable clothing
Follow-up Visit Reminders: - Take medications on time and keep records - Arrive on time for monitoring appointments - Report abnormal symptoms promptly - Maintain active communication
🤝 Service Commitment¶
Our Commitment: - Respect each patient's privacy - Provide personalized medical services - Maintain professionalism and compassion - Always available to answer patient questions - Support patients throughout the entire treatment process
Resource Usage Guidelines
Download Tips - All forms are in PDF format, recommended to download and print for completion
Privacy Protection - Completed forms contain sensitive information, please keep them secure
Timely Updates - Please notify us promptly when personal information changes
Language Options - Contact our service team for assistance with language preferences
Resource last updated: August 7, 2024