Patient Forms

Patient Forms for the San Luis Obispo Clinic

General Health History – Female

This is for ALL new female patients.
click here to download the female health history form (211K)

General Health History – Male

This is for ALL new male patients.
click here to download the male health history form (211K)

Fertility Form – Female

If you are coming in for fertility treatments, please fill out this form in addition to the female General Health Form.
click here to download the female fertility form (136K)

Fertility Form – Male

If you are coming in for fertility treatments, please fill out this form in addition to the male General Health Form.
click here to download the male fertility form (130K)

Pregnancy Form

If you are coming in for any pregnancy related symptoms please fill out this form in addition to the General Female Form.
click here to download the pregnancy form (119K)

Postpartum Form

If you are coming in for an issues related to your postpartum recovery please fill out this form in addition to the General Female Form.
click here to download the postpartum form (110K)

Basal Body Temperature Charting

How to correctly chart your Basal Body Temperature (BBT) for identifying patterns and problems in your menstrual cycle.
click here to download a printable document about Basal Body Temperature Charting (149K)

Femoral Massage

How to perform a femoral massage to increase your chances of conception.
click here to download a printable document about Femoral Massage (100K)

Castor Oil Pack

The Benefits and How-to’s of doing a castor oil pack at home.
click here to download a printable about the Castor Oil Pack procedure (121K)