Referrals
A Physician referral is requried prior to booking a consultation and treatment at Alberta Reproductive Centre. For your convenience, a downloadable form has been provided below for you to present to any Physician you have seen for care. If you do not have a Family Physician, any walk-in clinic can provide a referral using the referral form. Referring providers can also upload the referral form into their Electronic Medical Records system for future use.
Please note that referring Physicians are not required to order any investigations prior to a referral.
Who should be Referred to ARC
- Trying to get pregnant for 12 months (or 6 months if the egg providing partner is >35 years old)
- Trying to conceive with no periods, irregular periods, or PCOS
- History of surgery that may impact fertility (eg. hernia repair, ruptured appendix removal, bowel resection, surgery for ectopic pregnancy)
- History of abnormality of the uterus / tubes (eg. fibroids in the uterine cavity, uterine septum, blocked tubes, history of pelvic infection)
- Endometriosis diagnosed by surgery or MRI (especially Stage III / IV)
- History of chemotherapy / radiation therapy
- Known / suspected poor sperm quality
- Oncology / Medical patients for fertility preservation (sperm or egg freezing)
- LGBTQ2+ family planning and building
- Egg freezing so childbearing can be delayed
- Single parent by choice
- Recurrent Pregnancy Loss (history of 2 miscarriages)
- Patients who have undergone fertility investigations / treatment and are looking to transfer their care to ARC or who want a 2nd opinion at ARC
Other Services
No Referral Required
- Sperm Freezing (eg. before vasectomy)
- Registered Dietitian (Specializing in Reproduction and Fertility)
- Registered Psychologist (Specializing in Reproductive Mental Health)
- On-site Acupuncture
Referral Form Download
Satellite Referral Form Download
For use by other fertility clinics with satellite patients at ARC
