Gentle Procedures Sydney

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 LOCATIONS

Narellen Vasectomy Clinic

19 Queen Street Narellan NSW

Penrith Vasectomy Clinic

240-250 Great Western Highway (Shop G02)
Kingswood NSW 2747

Campsie Vasectomy Clinic

Shop 5, 570 Canterbury Road Campsie NSW 2194

Sydney CBD Vasectomy Clinic

60 Bay Street Ultimo NSW 2007

QUICK ACCESS

OFFICE HOURS

  • Monday to Friday 9am – 5pm
  • Weekends & Public Holidays closed

CONTACTING US

PHONE

Office 02 4742 3163 
Doctor 0490 813 714

EMAIL

info@gentleproceduressydney.com.au

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