Information Packet

When you contact us by telephone or email, we will be happy to mail you our printed Information Packet, containing the Informational Booklet and all three Patient Registration Forms, or you can download the content right here.

A PDF reader is required to view and print Forms. You may download the Adobe Reader application free at the Adobe website. If you are unable to print the forms, please telephone us to request that we mail you our Information Packet.

Informational Booklet


Informational Booklet

This contains the essential information for patients in an 8 page booklet. You may download and print the Informational Booklet or read the contents on your computer. Informational Booklet (878k pdf) (8 pages)

Patient Registration Forms

Please save each blank form to your computer as a pdf file. Open in Adobe Reader to type into the form, then save the completed form again. You can then submit your completed forms electronically using our secure File Upload Portal. Alternatively, you may print the blank forms, write in your information, and send them to us by mail or fax, or scan them and send by our secure File Upload Portal.

Consent Form
Registration Agreement (287k pdf)
Health Questionnaire (192k pdf) Consent Form (488k pdf)

The After Vasectomy Instructions also appear on page 8 of the Informational Booklet. The Test Request Form can also be found on the Testing Schedule page.

After Vasectomy Instructions

Test Request Form

test request form
After Vasectomy Instructions (530k pdf)Test Request Form (104k pdf)

Copyright Notice: All forms provided on this website, in printed and electronic form, are the copyrighted property of The Vasectomy Clinic and are provided only for use in obtaining care for our patients. They may be printed, copied, or transmitted electronically only as required for that purpose. Printing, copying, or electronically reproducing or transmitting forms in whole or in part for any other use without the express written consent of the owner is prohibited.