Referral received
Clinical question, relevant history, and prior results arrive by secure fax, using the Asali referral form when available.
Referral pathway for healthcare providers
A focused referral. A clear answer. A patient returned to your care.
Refer a patient located in Ontario or British Columbia when focused assessment of fertility, menstrual or ovulatory health, or male reproductive health would help move the care plan forward. Asali currently accepts referrals from regulated healthcare professionals only.
Patient fees
$149Focused reproductive health consultation
$60Additional focused follow-up
Up to 15 minutes, if needed
Up to 15 minutes, if needed
Any uninsured laboratory or imaging charges are separate and discussed with the patient where applicable.
Included in the $149 consultation
A complete, focused consultative pathway.
- Referral and available medical-record review
- Consideration of the referring provider's recommendations and proposed investigations
- Focused patient clarification through secure asynchronous messaging, with a short video appointment if the NP requires additional information
- Clinical decisions about appropriate investigations
- Clinically indicated laboratory or imaging requisitions
- Evidence-based conventional reproductive or fertility biomarker assessment where appropriate; no DUTCH testing
- Investigation-results review
- One written report to the patient and/or referring provider
- Return to the referring provider for ongoing care
Appropriate referral questions
Who may benefit?
- Patients without timely access to a primary-care provider
- Patients needing clinically indicated conventional laboratory assessment
- Women or men needing evidence-based fertility or preconception assessment
- Heavy, prolonged, irregular, or absent periods
- Suspected PCOS, anovulation, endometriosis, fibroids, or other pelvic concerns
- Male fertility concerns, semen assessment, or symptoms suggestive of testosterone deficiency
- Medication, supplement, or anabolic-steroid exposure that may affect reproductive health
- Preconception medication or medical-condition review
- Patients who may meet criteria for fertility-specialist or gynecology referral
When earlier specialist assessment may be appropriate
- Under 35: no conception after 12 months of regular unprotected intercourse
- Age 35 or older: no conception after 6 months
- Over 40: more immediate evaluation may be warranted
- At any age: known or suspected conditions associated with infertility, including irregular or absent cycles, PCOS/anovulation, endometriosis, uterine or tubal disease, suspected male factor, or diminished ovarian reserve risk
What happens after referral
The full loop, in six steps.
Patient contacted
The patient may provide clarification through secure asynchronous messaging based on their preference. If the NP requires further information, a short video appointment is arranged.
Shared clinical review
The patient's history and preferences, the clinical question, and the referring provider's recommendations are considered through an independent NP assessment.
Orders placed
Clinically indicated standard laboratory or imaging requisitions are arranged.
Results communicated
The patient and referring provider receive a consultation letter and recommended medical next steps.
Patient returns
The patient returns to the referring provider for ongoing care; specialist referral proceeds when indicated.
Secure referrals
Protect the patient's information from the first step.
Referrals must come from a regulated healthcare professional and are accepted by secure fax only. Patient self-referral is not available at this stage. Ordinary email is for general questions and must never include names, health-card information, clinical records, or other personal health information.
Asali referral form
Download the fillable PDF or editable Word version. Complete the form, then fax it with relevant records to the secure number provided.
Secure fax
Send the completed referral form or referral letter and relevant records to the dedicated secure fax number below. Confirm the destination before transmitting.
Fax referrals to(866) 460-7415
General enquiries only: hello.asalihealth@gmail.com • Never include personal health information in ordinary email.
Include with the referral
Enough context for one useful visit.
- Referring provider name and secure return contact
- Patient demographics and consent to referral
- Focused clinical question or requested assessment
- Relevant reproductive and medical history
- Current medications and supplements
- Relevant previous laboratory, imaging, or specialist reports
Questions before referring?