Referral letter requirements

You can take this form to your GP or obstetrician/gynaecologist to refer you to Westmead Fertility Centre for treatment.

If you Doctor does not use this form, please ensure the following information is included in your referral letter:

Doctors Details

  • Doctor’s full name
  • Address
  • Contact Number
  • Provider Number
  • Referral Date
  • How long the referral is valid for (3 mths, 12 mths or indefinite).

Patient Details

  • Both male and female full names
  • Both date of births