Book an Appointment

Booking an appointment is easy

If you live out of country or do not have BC Medical Coverage, please fill out the Online Non-Resident Booking Form (below) or download the Physician's On-line Form and indicate you do not have MSP coverage and fax it to us at 604-559-9951 or email it to info@olivefertility.com. Please note private pay prices will apply to appointments and testing.

In order for your initial consultation and most of the preliminary testing to be covered by your BC Medical Plan (MSP) we require a physician’s referral before booking an appointment, please use the Patient Referral and Booking form

Online Non-Resident Booking Form:

If you live in Canada or have MSP this is NOT a referral form.

Your Contact Information

Contact Information

Birthdate

Address

Country

Partner Information

Do you have a partner?

Yes

If yes

Partner's Name

Date of Birth

Doctor

Vancouver Office

Surrey Office

North Shore Office

Medical Information

Reason you wish to be seen

Have you had previous fertility testing?

If yes, what tests were done and what was found?

Have you had previous fertility treatment?

If yes, where?

Comments/Further Information

Math question 6 + 0 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.