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Phone: (416) 233-8111
For More Information:

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Home Insemination Program


Fertility in Northern Ontario



New Live Birth Report


Congratulations on the delivery of your baby.

Please take a moment to share the exciting news with us by filling the information below; your report allows us to track donor fertility and limit the number of offspring per donor. Once you have completed the form below, please email your supporting documents (e.g. insemination record, invoice, confirmation of request, etc.) to spermbank@repromed.ca
 
All information will be kept completely CONFIDENTIAL.

If you have any questions or concerns, please do not hesitate to contact us at: 416-233-8111 x341.

Name: Birth Date (yyyy/mm/dd):
E-mail: Phone:
Sex: Weight (lbs or kg):
Donor Number:

Proud Parent(s):
Address:
Physician(s):
Additional Comments:


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Male & Fertility Clinic,  Assisted Reproduction,
In Vitro Fertilization Unit:

Phone: (416) 233-8111 ext 740
Urology, Male Fertility Assessment,
Andrology Laboratory & Sperm Bank:

Phone: (416) 233-8111 ext 341

Monday to Friday: 7:00 am - 5:00 pm
Saturday & Sunday: 7:30 am – 8:30 am
(Cycle Monitoring)

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