5402 47th Ave NE, Seattle, WA 98105 - 206.525.4090
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Forms

About Forms

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.

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If you are unable to print the forms, please telephone us to request that we mail the forms to you.

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 (484k pdf) (8 pages)

Patient Registration Forms

Please download and print these three forms. Submit your completed forms by mail, fax, or upload from your computer right now.

Registration Agreement (207k pdf)
Health Questionnaire (217k pdf)
Consent Form (76k pdf)

After Vasectomy Instructions

After Vasectomy Instructions (118k pdf) (2 pages)

Test Request Form

Test Request Form (76k pdf)