Forms

The Ottawa Fertility Centre helps men and women with a diverse range of fertility challenges. Whatever the reason, we are here to help you meet your goal of having a family

Information Sheets

Ontario Fertility Program Patient Information Sheet	Download
Ottawa Fertility Centre Fee Schedule	Download

Referral Forms

Outside Consultation Request	Download
Oncology Referral for Fertility Preservation	Download
Kingston Registration Form	Download

Satellite Patients

Request For Satellite Monitoring	Download

Disclosure of Personal Health Information

Disclosure of Health Information (Doctors office only)	Download
Access to Health Information (Patients Only)	Download

Other Consent Forms

Transfer of Cryopreserved Specimens FROM the Ottawa Fertility Centre	Download
Transfer of Cryopreserved Specimens TO the Ottawa Fertility Centre	Download
Use of Femara (Letrozole) for Infertility	Download

Fertility and your Health

Recurrent Pregnancy Loss	Download
Complications of Multiple Births	Download
Risks Associated with Twin Pregnancies	Download
Endometriosis	Download
Lifestyle and Dietary Recommendations for the Infertile Male	Download

Instructions for Diagnostic Tests

Baseline Gynecological Exam	Download
Hysterosonogram	Download
Collection at Home	Download
Collection at the Ottawa Fertility Centre	Download

Ready to find out more?

Ottawa Fertility Centre

100-955 Green Valley Crescent
Ottawa, ON K2C 3V4, Canada
613-686-3378

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