Referral forms
Dr Referral
To refer your patient to the FRC, see below for all referral forms and testing required.
Testing required
Fertility Treatment referral
Patients and their partners who are trying to conceive can be seen for consultation.
Fertility Preservation referral
Urgent referrals email: seslhd-fertilityandresearchcentre@health.nsw.gov.au
Recurrent Miscarriage referral
Patients and their partners who experience two or more consecutive first trimester miscarriages can be seen for consultation.
Andrology referral
Andrology Services offers male fertility testing including: · Semen analysis · Anti-sperm antibodies · Semen culture and sensitivities · Sperm DNA fragmentation (SCSA) · Semen fructose · Retrograde ejaculation assessment · Trial sperm wash Patients can contact Andrology on 02 9382 6643 to arrange an appointment. Patients to bring completed request form to the appointment.
PGD referral
Patients and their partners who have a known genetic condition can be seen for consultation about IVF with PGD. Due to the high number of referrals, we are receiving we are unable to accept new referrals for the program until further notice.
EPAS referral
Patients who experiencing pain or bleeding within the first 20 weeks of their pregnancy can be seen for consultation in the Early Pregnancy Assessment Service.
Testing required
While referral forms are being processed, please order your patient (and their partner, if relevant) the following tests and investigations. Results can be sent to the FRC before their initial appointment by clicking the button below.
Fertility Treatment
Female testing
Blood Tests
AMH (approximately $65), TSH, Prolactin, FBC, Iron Studies, HbEPG, Hep B, Hep C, HIV, Syphilis, Karyotype, Rubella IgG, Varicella IgG, CMV IgG, Blood Group, Cystic fibrosis (CF), Spinal muscular atrophy (SMA), Fragile X syndrome (FXS)
Ultrasound
Pelvic with Antral Follicle Count during first half of cycle
Male testing
Blood Tests
Hep B, Hep C, HIV, Syphilis, FBC, Iron Studies, HbEPG, Blood Group
Semen Analysis
Available through the RHW Andrology Laboratory via appointment – call 02 9382 6643
Fertility Preservation
Female testing (Egg or embryo freezing)
Blood tests
Oestradiol, AMH (approximately $65), LH, FSH, Progesterone, beta hCG, HIV, HepBSAg, Hep C, VDRL, HTLV 1 & 2, CMV
Ultrasound
Pelvic with Antral Follicle Count
For urgent patients: The Clinical Nurse Consultant for Fertility Preservation can be contacted to assist in arranging these tests on 02 9383 6633.
Male testing (Sperm freezing)
Blood Tests
Male oncology patients wishing to access Sperm Freezing services will have a blood test and urine collection once they have seen the fertility specialist and booked an Andrology appointment. The FRC will organise the blood test and urine collection for the patient.
Recurrent Miscarriage
Female testing
Blood tests
Karyotype, AMH (approximately $65), TSH, APCR, Protein C, Protein S, Antithrombin lll, Cardiolipin antibodies, Lupus anti-coagulant, Antithyroid Antibodies, Blood Group, hCG, Prolactin, FBC, Iron Studies, HbEPG, Hep B, Hep C, HIV, Syphilis, Rubella IgG, Varicella IgG, CMV IgG, Cystic fibrosis (CF), Spinal muscular atrophy (SMA), Fragile X syndrome (FXS)
Products of Conception
Karyotype or cytogenetic
Ultrasound
Pelvic with Antral Follicle Count during first half of cycle
Male testing
Blood tests
Karyotype, Blood Group, Hep B, Hep C, HIV, Syphilis, FBC, Iron Studies, HbEPG
Semen analysis
With DNA Fragmentation (Available through the RHW Andrology Laboratory via appointment – call 02 9382 6643). Charges do apply.
PGD Testing
Female testing
Genetic Testing
Copies of genetic tests, counselling and relevant medical history
Blood Tests
AMH (approximately $65), TSH, Prolactin, FBC, Iron Studies, HbEPG, Hep B, Hep C, HIV, Syphilis, Karyotype, Rubella IgG, Varicella IgG, CMV IgG, Blood Group, Cystic fibrosis (CF), Spinal muscular atrophy (SMA), Fragile X syndrome (FXS)
Ultrasound
Pelvic with Antral Follicle Count during first half of cycle
Male testing
Genetic Testing
Copies of genetic results, counselling and relevant medical history
Blood Tests
Karyotype, HepB, HepC, HIV, Syphilis, FBC, IronStudies, HbEPG, Blood Group
Semen Analysis
Available through the RHW Andrology Laboratory via appointment – call 02 9382 6643.