Vasectomy Registration

Please complete the registration form below for no-scalpel vasectomy.

We will call you back to confirm your appointment, if it is not already booked.

Thanks for booking with us.

  • Patient Information

  • DD slash MM slash YYYY
  • (if available)
  • Referring Doctor (if applicable)

  • Family Information

  • Enter “none” if none.
  • Enter “none” if none.
  • Enter “none” if none.
  • Enter “none” if none.
  • Contraception

  • Medical History

  • Surgical History

  • Medications

  • Enter "none" if none.
  • Allergies

  • Enter “none” if none.
  • Vasectomy Agreement

    You must consent to the following:
  • This field is for validation purposes and should be left unchanged.

Our four Sydney vasectomy clinics are open and running as usual and you can book an appointment now.

We continue to enforce strict infection control protocols.

Please wear a face mask when you come for your appointment.

Thanks for your help.