Vasectomy Registration Form Download

Vasectomy Registration Form Download2017-06-15T17:15:45-07:00

If you are cannot use the online vasectomy registration form you can download the form below, and fax or email it to us once completed.

Please call 604.717.6200 or contact us today with any questions.

Please fax completed forms to 604.526.8952 or scan and send them by email to


Download Vasectomy Registration PDF


We are following strict protocols to ensure staff and patient safety.  Please read our COVID-19 information page for details.

We also continue to offer telehealth appointments for the following:

  • Complimentary initial visits for erectile dysfunction, peyronie's disease and penile enlargement.
  • Sex Therapy

Please contact us at 604.717.6200 or to book. We are open 7 am - 5 pm Monday to Friday

Take care and stay safe!