Online Registration Forms: Click Here

Registration forms can now be completed online at or by clicking the link above. PDF versions of registration forms are also below.

Informational Booklet

Read this booklet. It has the information you need to be fully informed about vasectomy and prepare you for your appointment. 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.
Informational Booklet

After Vasectomy Instructions

Test Request Form

test request form
After Vasectomy InstructionsTest Request Form

Patient Registration Forms (PDF)

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

Health Questionnaire

Consent Form

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 here.

Copyright Notice

All forms provided on this website, in printed and electronic form, are the copyrighted property of Men’s Clinic, LLC 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.