Become a Freeze-verified™ clinic!

We're on a mission to make choosing a clinic easier for women who want to freeze their eggs! Learn more about Freeze and how Freeze works with fertility clinics here.

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 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.

Freeze is currently only supported for clinics in the United States. International clinics can sign up here to be notified when we expand to your location.