Affiliated Professionals' Registration Form

Affiliated Professionals' Registration Form 

It is important for Tripod Fertility to work in close partnership with our affiliated professionals in the community.  We value each and every partnership and take great pride in providing compassionate care and a technologically advanced environment for all patients.  

Please complete the Affiliated Professionals' Registration form below and click Submit.  Alternatively, you can download a PDF version and fax directly to 905-471-7447.  We strive to provide patients with an initial consult within three weeks of the referral being received.

    [contact-form-7 404 "Not Found"]

    How to get started? 

    Need to refer a patient?  Fill out our form and we will be in touch with your patient to schedule an appointment with one of our Tripod Fertility specialists.  

    Input your text here! The text element is intended for longform copy that could potentially include multiple paragraphs.