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Suite 204
MALE DEMOGRAPHIC INFORMATION 1 We’re glad you found us here at Reproductive Medicine Associates of New Jersey (RMANJ). Perhaps you’re struggling to conceive for the first time or have experienced multiple miscarriages. RECORDS RELEASE AUTHORIZATION FCSTMS204 5/7/15 This form can be used for you to send to your OB/GYN or previous doctor to request your medical records. Please note: some physicians may require up to one month to process medical recordsrequests.
REDUCING THE BURDEN OF CARE 2 Redefining Success in IVF: Reducing the Burden of Care Highlights of an Expert Roundtable Meeting on Single Embryo Transfer in IVF A Message from Our Chair p.4EMAIL FAX - RMANJ
Authorization for Release of Patient Medical Records There is a cost associated with the release of your medical records. All requests for records are subject to a $1 per page fee up to $50. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996 Effective April 14, 2003 Revised: December 8, 2016 about you to your employer if you employer hires us to provide you with a physical exam and we discover that you have a work TRENDS IN INFERTILITY 2017 TRENDS IN INFERTILITY 2017 SURVEY AND REPORT Basking Ridge l Eatontown l Englewood l Freehold l Hamilton l Marlton l Morristown l Somerset l Springfield l West Orange FEMALE DEMOGRAPHIC INFORMATION We’re glad you found us here at Reproductive Medicine Associates of New Jersey (RMANJ). Perhaps you’re struggling to conceive for the first time or have experienced multiple miscarriages. REPRODUCTIVE MEDICINE ASSOCIATES OF NEW JERSEY, LLC Reproductive Medicine Associates of New Jersey, LLC 1. PATIENT CONSENT FOR USE OF ELECTRONIC MAIL PATIENT CONSENT FOR USE OF ELECTRONIC MAIL e. The patient should not use e-mail for communication regarding sensitive medical information, such as information regarding sexually transmitted diseases, AIDS/HIV, mental health, issues PATIENT INSTRUCTIONS SCHEDULING & COLLECTING SEMEN … 1. BASKING RIDGE 140 Allen Road Basking Ridge, NJ 07920 908-604-7800 Fax: 973-290-8370 2. EATONTOWN Meridian Center I 2 Industrial Way WestSuite 204
MALE DEMOGRAPHIC INFORMATION 1 We’re glad you found us here at Reproductive Medicine Associates of New Jersey (RMANJ). Perhaps you’re struggling to conceive for the first time or have experienced multiple miscarriages. RECORDS RELEASE AUTHORIZATION FCSTMS204 5/7/15 This form can be used for you to send to your OB/GYN or previous doctor to request your medical records. Please note: some physicians may require up to one month to process medical recordsrequests.
REDUCING THE BURDEN OF CARE 2 Redefining Success in IVF: Reducing the Burden of Care Highlights of an Expert Roundtable Meeting on Single Embryo Transfer in IVF A Message from Our Chair p.4EMAIL FAX - RMANJ
Authorization for Release of Patient Medical Records There is a cost associated with the release of your medical records. All requests for records are subject to a $1 per page fee up to $50. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996 Effective April 14, 2003 Revised: December 8, 2016 about you to your employer if you employer hires us to provide you with a physical exam and we discover that you have a work TRENDS IN INFERTILITY 2017 TRENDS IN INFERTILITY 2017 SURVEY AND REPORT Basking Ridge l Eatontown l Englewood l Freehold l Hamilton l Marlton l Morristown l Somerset l Springfield l West Orange FEMALE DEMOGRAPHIC INFORMATION We’re glad you found us here at Reproductive Medicine Associates of New Jersey (RMANJ). Perhaps you’re struggling to conceive for the first time or have experienced multiple miscarriages. REPRODUCTIVE MEDICINE ASSOCIATES OF NEW JERSEY, LLC Reproductive Medicine Associates of New Jersey, LLC 1. PATIENT CONSENT FOR USE OF ELECTRONIC MAIL PATIENT CONSENT FOR USE OF ELECTRONIC MAIL e. The patient should not use e-mail for communication regarding sensitive medical information, such as information regarding sexually transmitted diseases, AIDS/HIV, mental health, issues MALE DEMOGRAPHIC INFORMATION 1 We’re glad you found us here at Reproductive Medicine Associates of New Jersey (RMANJ). Perhaps you’re struggling to conceive for the first time or have experienced multiple miscarriages.MEDICAL INTAKE FORM
FCSTMS202b Page 3 of 8 4/20/2015 Do you or have you ever had (check all that apply): . Scarlet Fever Rheumatic Kidney Infection Heart Disease Breast Tenderness TRENDS IN INFERTILITY 2016 1 Infertility In America 2016 ABOUT RMANJ’S 2016 TRENDS IN INFERTILITY Life moves fast. This is a frequent discussion that doctors at Reproductive Medicine Associates ofMEDICAL INTAKE FORM
Medical Intake Form Instructions Reproductive Medicine Associates of New Jersey, LLC Medical Intake Form Preparation: Each patient who visits RMANJ is directed to complete and submit a medical intake form. FEMALE DEMOGRAPHIC INFORMATION We’re glad you found us here at Reproductive Medicine Associates of New Jersey (RMANJ). Perhaps you’re struggling to conceive for the first time or have experienced multiple miscarriages. AUTHORIZATION FOR RELEASE OF PATIENT HEALTH INFORMATION Authorization for Release of Patient Health Information Mental Health Care Patient Name: _____ Date of Birth: _____ I understand that the information in my health record may include disclosure of information relating to communicable disease, Acquired Immunodeficiency Syndrome (AIDS), Human Immunodeficiency Virus PATIENT CONSENT FOR USE OF ELECTRONIC MAIL PATIENT CONSENT FOR USE OF ELECTRONIC MAIL e. The patient should not use e-mail for communication regarding sensitive medical information, such as information regarding sexually transmitted diseases, AIDS/HIV, mental health, issues REFERRAL TO OUTSIDE LABORATORIES, FACILITIES, AND/OR PROVIDERS FCSCLI224 1/9/19 Referral to Outside Laboratories, Facilities, and/or Providers The purpose of this form is to ensure that your testing is performed at a laboratory or facility that participates REFERRAL TO OUTSIDE LABORATORIES, FACILITIES, AND/OR PROVIDERS FCSCLI224 2/7/2012 Referral to Outside Laboratories, Facilities, and/or Providers The purpose of this form is to make sure your testing goes to the correct participating laboratory based on your insurance FINANCIAL COMMITMENTS CLINICAL RESEARCH OPPORTUNITY … The objective of the neXgen Clinical Trial is to assess the effectiveness of next generation sequencing (NGS) based Preimplantation Genetic Diagnosis skip to main content COVID-19 Updates: You are our highest priority__Menu
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RMA NEW JERSEY
Science. Success. Support. SCIENCE. SUCCESS. SUPPORT.IVF Success Rates
Live Birth Rate Per New Patient 2018 Final* *Currently, SART only displays 2018 preliminary data, our data reflects the final outcomes for 2018. You can view RMA New Jersey's clinic summary snapshot report on SART here.
Please note a comparison of clinic success rates may not be meaningful because a patient’s medical characteristics, treatment approaches, and entrance criteria for assisted reproductive technology (ART) may vary from clinic to clinic. Visit http://www.sart.orgto learn more.
WITH YOU EVERY STEP
OF THE WAY
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FERTILITY CONSULTATIONINFERTILITY TESTING
IN VITRO FERTILIZATIONEGG FREEZING
HELPING BUILD FAMILIES ONE PATIENT AT A TIME All Treatments & Services EVERYONE HAS A STORY Local Families, Real SuccessRMA NEW JERSEY
LEADERS IN REPRODUCTIVE MEDICINE Since 1999, RMA New Jersey has been the leader in assisted reproductive technology and helped bring 40,000 babies to loving families across the US and countries abroad. RMA’s comprehensive patient-centered care and fertility breakthroughs result in highly recognized IVF delivery rates in the US and the world. Introducing RMA’s Artemis Patient Portal, the most comprehensive patient portal for fertility care, only at RMA. Access your fertility care anywhere, anytime. The Artemis Patient Portal is with you always – from your first appointment to graduation back to your OB/GYN fora healthy delivery.
Learn More & DownloadOUR BLOG
Stay up to date on RMA news and check out our latest educationalblogs.
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FERTILITY ACCESS: A NEW FERTILITY FINANCING OPTIONMay 11, 2021
THERE ARE SO MANY FERTILITY CLINICS NEAR ME – HOW DO I CHOOSE ONE?April 16, 2021
WHAT IS FROZEN EMBRYO TRANSFER (FET) AND HOW DOES IT IMPACT SUCCESS?April 16, 2021
RMA NEW JERSEY PARTICIPATES IN THE FOLLOWING INSURANCE PLANS:* Aetna
* Amerihealth
* Blue Cross Blue Shield (PPO)* Cigna
* Horizon Blue Cross Blue Shield* Progyny
* Qualcare
* United Healthcare Oxford* United Healthcare
* United Medical CreditWE'RE HERE FOR YOU
RMA New Jersey is comprised of 10 clinics across the state, giving hopeful parents in New Jersey and surrounding areas convenient access to the most advanced fertility care available. Our clinics – located in Basking Ridge , Eatontown , Englewood , Freehold , Marlton , Morristown , Princeton , Somerset , Springfieldand West Orange
– offer a full range of fertility services, including In Vitro Fertilization (IVF), Intrauterine Insemination (IUI), and third party reproductive services, and our modern facilities are equipped with advanced diagnostic and treatment capabilities. RMA of New Jersey’s dedicated, highly-trained physicians and care teams offer flexible appointment times, early morning ultrasounds and evening hours for first-time visits. RMA’s treatment success rates also attract patients from across the country and around the world. SPEAK TO A SPECIALIST & GET STARTED BEGIN YOUR FAMILY BUILDING JOURNEYContact Us
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Email Address *
* indicates requiredBasking Ridge, NJ
908-604-7800
Eatontown, NJ
732-935-1002
Englewood, NJ
201-569-7773
Freehold, NJ
732-577-6500
Marlton, NJ
856-267-8100
Morristown, NJ
973-971-4600
Princeton, NJ
609-799-5666
Somerset, NJ
732-220-9060
Springfield, NJ
973-258-4081
West Orange, NJ
973-325-2229
Allentown, PA
610-820-6888
Abington, PA
215-938-1515
Langhorne, PA
267-852-0780
King of Prussia, PA
215-654-1544
Philadelphia, PA
215-922-1556
Palo Alto, CA
650-618-6070
San Francisco, CA
415-603-6999
Los Angeles, CA
424-293-8841
Lake Mary, FL
407-804-9670
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Give Us a CallMake An Appt Florida: 407-804-9670 Lehigh Valley (Existing Patients): 610-820-6888 Lehigh Valley (New Patients): 973-656-2089 New Jersey (Existing Patients): 973-971-4600 New Jersey (New Patients): 973-656-2089 Northern California: 415-603-6999 Philadelphia: 215-654-1544 Southern California: 424-293-8841Details
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