Vasectomy Registration

Vasectomy Registration 2019-01-16T13:50:37-05:00

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

Your premium vasectomy is fully covered by OHIP. Should your OHIP card be expired you can renew it here.

Once you submit the registration form your will get an email a few minutes later with detail in the next steps – including how to get a referral if you don’t already have one.

Thanks for booking with us.

  • Patient Information

  • Type N/A if none
  • Date Format: MM slash DD slash YYYY
  • Referring Doctor

  • Family Information

  • Type "N/A" if none
  • Type "N/A" if none
  • Type "N/A" if none
  • Type "N/A" if none
  • Type "N/A" if none
  • Contraception

  • Medical History

  • Surgical History

  • Medications

  • Type "N/A" if none
  • Allergies

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

    You must consent to the following:
  • I understand the potential complications of the surgery listed below, and have had all questions answered to my satisfaction (check each box below to confirm).
  • This field is for validation purposes and should be left unchanged.

We will resume procedures on June 1st.

Only adult circumcision procedures are not starting yet.

Please call us now at 416-551-7070 to book.

The clinics will operate with modified procedures to support social distancing and infection control.

Please read our COVID-19 Information Page

Take care.