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Single Visit Vasectomy Registration Form

After you submit this form you will be redirected to a page that will allow you to select an appointment date and time and pay the scheduling deposit.

If you are trying to schedule either a 1) consultation visit or 2) sedation vasectomy then DO NOT COMPLETE THIS FORM! You will need to call and speak to a staff person before you can schedule. The staff will email you separate instructions to schedule either of those two visits.

If you would like a single visit vasectomy procedure (everything done at one visit)…then this is the correct form.


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Ask Us A Question!

Your questions about our services will be answered directly and promptly by our staff or Dr. Monteith. We will not respond to general medical questions or if you are a patient of another practice and are contacting us because you are not getting answers from your physician.

If you have been a patient at our center and have specific questions about your medical care you should contact the staff directly at (919) 977-5060.