604-879-3032

Physicians: Refer a Patient

We recommend a basic fertility evaluation of all couples.  This evaluation may occur before or after seeing one of our Genesis physicians.

Fill out the electronic form below or download our MD referral form and fax it to 604-875-1432.

If you are a patient, click here.

  • Patient Information

  • Date Format: MM slash DD slash YYYY
  • Patient Contact Information

  • Referral Information

Before we came to you, we were experiencing one of the most uncertain, scary and sad times of our life. You gave us hope, honesty, straightforward information, advice, support and the most precious gift of all  our twins. Our dreams have come true and we cannot thank you enough for everything you have done to get us here!

Genesis Patient
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