Vasectomy Registration Online

By registering online, you will be providing our doctor with some helpful information ahead of your consultation appointment, and reducing the in-clinic paperwork – so thanks!

We will call you back when we get your registration to answer your questions and set an appointment date.

If you prefer to simply request a consultation at the clinic please use the consultation request form. Thank you.

  • Patient Information

  • Type "N/A" if none
  • Vasectomy Agreement

    You must consent to the following: