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Generation

Start Your Care

- Is Egg Freezing Right For You?
- The Egg Freezing Process

Patient Portal

Vaughan/Newmarket

Waterloo
Physician Referral Form

For Medical Professionals

REFER A PATIENT
Patient Referral Form

To refer a patient, you can either complete the online form below or fax a printable referral form to us.

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Patient Information

First Name*

Last Name*

Email*

Cell Phone*

Health Card Province*

Health Card Version Code*

Health Card Number*

Health Card Expiry Date*

Are you a new patient?*

Yes

Biological/Assigned Sex*

Do you have a provincial coverage?*

Yes

Date of Birth*

Address 1 *

Address 2 (Optional)

City*

State/Province*

Postal code (Optional)

Referring Physician Information

Referring Physician First Name*

Referring Physician Last Name*

Billing Number*

Referring Clinic Address*

Referring Clinic Address 2 (Optional)

Referring City*

Referring State/Province*

Referring Postal Code (Optional)

Referring Clinic Phone Number*

Referring Fax number (Optional)

Reason for referral*

In Vitro Fertilization

Intrauterine Insemination

Recurrent Pregnancy Loss

Fertility Counselling

Donor Egg

Surrogacy

Egg Freezing

Sperm Freezing

Unexplained Infertility

URGENT : ferility preservation/cancer

Additional Comments (Optional)

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Need a downloadable referral form?

Get a Referral Form (GTA)

Get a Referral Form (Waterloo)

Generation Fertility has been trusted by primary care physicians and OB/GYNs for our commitment for helping individuals who wish to grow their families.

We have operated since 2011 as Procrea Fertility in Vaughan and Newmarket, and in 2021 adopted the Generation Fertility name.

Our team of fertility specialists is dedicated to triaging your referrals promptly and providing personalized end-to-end care for your patients. We have always strived to provide the most innovative, safest and best clinical outcomes possible.

Location Information

Fertility Resources

Thank you for entrusting us
with your patients’ care.

Vaughan: +1 (289) 357-0100

Newmarket: +1 (905) 967-0852

Locations

Where to Find Us

Vaughan

Vaughan Fertility Clinic

955 Major MacKenzie Dr W #400,
Maple, ON L6A 4P9, Canada

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289.357.0100

905.967.0512

Mon - Fri
6:30am - 2:30pm
Saturday
6:30am - 2:30pm
Sunday
Closed

Toronto West

Toronto West Fertility Clinic

56 Aberfoyle Crescent #300,
Toronto, ON M8X 2W4

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416.233.8111

416.233.8360

Mon - Fri
7am-5pm
Saturday
7:30am-11:30am (by appointment only)
Sunday
7:30am-11:30am (by appointment only)

Waterloo

Waterloo Fertility Clinic

435 The Boardwalk, Suite 508
Waterloo, ON N2T 0C2

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519.570.0090

519.570.3202

Mon - Fri
7am-3pm
Saturday
7:30am-10:30am
Sunday
7:30am-10:30am

Newmarket

Newmarket Fertility Clinic

1111 Davis Drive East, Unit 39
Newmarket, ON L3Y 9E5, Canada

View on map

905.967.0852

905.967.0512

Mon - Fri
6:30am-2:30pm
Saturday
Closed
Sunday
Closed

Ready to take your first step?

We’re here to support you every step of the way.

Start Your Care With Us

Rainbow flag symbolizing LGBTQ+ pride and inclusion

Inclusion of all gender and sexually diverse people is an important value of Generation Fertility. We are continuously striving to create an environment of compassionate belonging where all of the 2SLGBTQ2SIA+ community are supported, valued, and respected.

Generation Fertility is situated on the Treaty 13 lands and the traditional territory of the Mississaugas of the Credit First Nation, as well as the traditional lands of the Anishinaabe, Haudenosaunee, Wendat, and Attiwonderonk (Neutral) peoples. It is also treaty land of the Williams Treaties First Nations and other Indigenous peoples.

We are a proud partner in The Fertility Partners network, Canada’s largest coast-to-coast network of fertility practices. Together, we collaborate on growing access to care, research, and innovation to advance the reproductive medicine field, and delivering leading patient outcomes.

Careers Terms & Conditions Privacy Policy

For Medical Professionals

REFER A PATIENT Patient Referral Form

To refer a patient, you can either complete the online form below or fax a printable referral form to us.

Patient Information

Referring Physician Information

Thank you

Need a downloadable referral form?

Generation Fertility has been trusted by primary care physicians and OB/GYNs for our commitment for helping individuals who wish to grow their families.

Thank you for entrusting us with your patients’ care.

Vaughan: +1 (289) 357-0100

Newmarket: +1 (905) 967-0852

Ready to take your first step?

We’re here to support you every step of the way.

REFER A PATIENT
Patient Referral Form

Thank you for entrusting us
with your patients’ care.