Prior to your initial appointment with RMANJ, all patients must provide medical records specific to their care, as well as other written information. This allows our team to review the information before your visit so we can make your time with us the most productive and effective as we can. Please complete the following forms and fax them to 973-290-8370 at least 1-2 weeks prior to your appointment.  If you would like to send completed forms electronically, please contact our patient liaison team for a secure email link at 973-656-2089.

Please note you may be required to download Adobe Reader to complete our new patient forms. You can download Adobe Reader at


Please DO NOT use the “Preview” application to complete these forms, as an incompatibility causes the forms to be blank when opened on other computers.  Please ONLY use the free Adobe Reader application available by clicking here:

3 Easy Steps to Complete Your New Patient Paperwork

STEP 1 Download Your New Patient Forms

STEP 2 Getting Your Previous Medical Records

STEP 3 Additional Consent & Policy Forms

Cancellation Policy

As you know, waiting for an appointment to begin fertility treatment can be stressful, so we ask you to be considerate of other patients who are waiting for their appointment with RMANJ. To ensure every patient is satisfied, here at RMANJ, we have developed guidelines for canceling and rescheduling new patient appointments. Please review the following and call the patient liaison department at 973-656-2089 with any questions: If it becomes necessary for you to cancel your appointment, we require at least 48 hour notice, so that we can contact other patients who may be able to take your scheduled appointment. If you do not contact us, RMANJ can bill you for the missed visit.

Cancel/Reschedule Policy

If you have cancelled your appointment three times, RMANJ will ask you to complete a Credit Card Authorization Form for payment. This will ensure us of your commitment to your next rescheduled visit. You will be charged for the initial consultation fee and when you come in for your consultation, you will be reimbursed this fee minus your co-pay.