GP Referral - Galway Fertility Clinic

How to refer your Patient(s)

One in six couples experience difficulties conceiving a child. The experienced team at Galway Fertility Clinic has been providing a wide range of fertility treatments in Ireland for over 20 years. Our approach is to provide the most cost-effective treatment option for patients to realise their dreams of becoming a parent.

Our Fertility Consultant provides a comprehensive assessment as outlined in ‘First Fertility Assessment in 5 Simple Steps’.

Download our 5 Simple Step Guide

If you wish to refer your patient using our secure online system, please complete the form below, including the patient contact details.

Once our appointment coordinator receives your referral, she will contact your patient with a convenient appointment.


Referral Form

Appointment Type

Fertility Appointment (includes Semen Assessment for partner if applicable)
Semen Assessment Only

Patient Details

Referring Doctor Details:

Please make sure to “Send” your referral form before clicking on Assessment links.


Please click on the relevant box to identify the required blood tests for this appointment.

Female Blood Tests with GP       Male Blood Tests required prior to Semen Assessment