I need a spermiogram. How do I go about arranging this? Do I need a referral from a doctor or can I approach a clinic directly?

You need a referral from a doctor

The best is to consult an urologist or the gyneacologist with your partner.

Yes, you need to take an appointment to have a prescription to be able to do the test.

normally there is a need for a prescription and after that you can go to a laboratory for the analysis to be done

A spermogram can be done in fertility centres, and specialized laboratories. Your general physician can make a demand for you. Alternatively, you can visit your urologist or fertility specialist for further information.