Request an Appointment

Heartland Fertility accepts self-referrals. To request an appointment, please complete the form below. Our team will contact you to book your appointment within 1-2 business days.

If you prefer to have your physician submit a referral, .

First Name

Last Name

Email

Phone Number

Preferred Method of Contact

Are you a new patient?

How Can We Help You

Interested in IVF services

Interested in IUI services

Interested in egg freezing

Other (specify below)

Message/specify (Please be as detailed as possible)

The following information is optional, but will help our clinic to expedite your booking process.

Address

Street Optional

City Optional

Province Optional

Postal Code Optional

124 Nature Park Way,
Winnipeg, MB R3P 0X7

T: (204) 779-8888
F: (204) 779-8877

Monday to Friday 8 AM – 4:30 PM

Request an Appointment

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