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 have decided to CLOSE our clinic locations until further notice.

However, we are still conducting complimentary initial visits for erectile dysfunction treatments by telemedicine.

Our staff will still be available by phone and email to schedule appointments.

We will keep you posted with updates on our website.

Read our COVID-19 Information Page

Take care.