Referral Form
The Pacific Centre for Reproductive Medicine can accept patients into clinical consultations by referral from their Family Physician, Obstetrician, Urologist, or other health care provider.We also accept patient self referrals.
The above PDF is a referral form to assist in obtaining information. This optional form can be printed, and faxed to 604 434 5522. Alternatively, you or your health care provider can call or fax us directly for an appointment time.
If you are trying to make an appointment to see us and encounter any difficulties, please contact our receptionist at 604 422 7276, and we will remedy the problem as quickly as possible.