Phone (813) 914-7304 - 8:30 a.m. and 5 p.m. EST

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Recommended Links
Sandy Goodman, M.D. Timothy Yeko, M.D. Samuel Tarantino Jr., M.D.
Marc Bernhisel, M.D. Betsy McCormick, M.D. Barry Verkauf M.D.

Patient Information and Forms

The staff at the Reproductive Medicine Group has compiled a number of forms and useful information for our patients to read and complete in the privacy of their own home. Should you be asked to complete a form by our staff, you will be able to find it in this section. To view these forms, you will need an Adobe Reader installed on your computer. If you do not have the Adobe Reader, you can download the latest version by clicking on the Adobe picture below and following the set of instructions.

  1. Patient Checklist Prior to Appointment
  2. Patient Medical History Form
  3. Printable Maps to our Locations
  4. Patient Record Request Form
  5. Preconception/Prenatal Screening Recommendations