Occupational Health
Occupational Health Referral for Fertility Treatment
A good OH referral for fertility treatment is structured and specific. Here is what it should include, who it goes to, and how OccuFertility generates the template for you.
Published 17 June 2026
The Contents
What Should an OH Referral for Fertility Treatment Include?
The PHQ-4 and WAI-1 scores give OH practitioners a validated baseline - not just a subjective description of how treatment is affecting the employee. Specific workplace questions mean the OH report is actionable, not generic.
- Employee's name and job title (with consent)
- Relevant fertility treatment details and current stage - provided by the employee
- PHQ-4 score: anxiety and depression screen
- WAI-1 score: work ability index
- Specific work-related impacts: attendance, concentration, physical demands
- Adjustments already in place and their effect
- Questions for the OH practitioner: adjustment recommendations, fitness for work, review period
Three Roles
Who Uses the Referral Template
Employees
You complete the check-in, decide what goes in the referral, and choose whether to share it. The template goes to your GP or directly to occupational health.
Line Managers
You receive a brief from the employee (if they choose to share one). The referral itself goes directly from the employee to OH - not through you.
OH Practitioners
You receive a structured referral with validated scores and specific workplace questions. The PHQ-4 and WAI-1 data gives you a quantified baseline for recommendations.
Three Steps
How OccuFertility Generates the Template
Step 1
Complete the Check-In
Answer the PHQ-4 (anxiety and depression), WAI-1 (work ability), and work impact questions. Takes about 5 minutes.Step 2
Review and Edit
The platform generates a draft referral template populated with your scores. You review, edit, and decide what stays in. Nothing is shared without your explicit action.Step 3
Submit or Hand to Your Manager
Use the template as a self-referral or give it to your manager to initiate the OH referral process. The structured format means the OH practitioner has everything they need from the first contact.
Get Started
