Become a Freeze-verified™ clinic!
If your clinic is located outside of the U.S., please complete our form for international clinics instead.
We're on a mission to make choosing a clinic easier for women who want to freeze their eggs! You can learn more about how Freeze works with fertility clinics on our clinics page.
If you do not want to complete this form online, you can print a pdf version of this form and scan and email/fax it to Freeze at firstname.lastname@example.org or (954) 342-6562.
Many of the fields on this form are optional, but we encourage you to fill out as much information as you can in order to give the Freeze community the most complete information possible to make a decision on where to freeze.