Patient Consent

UNDERSTAND THE VASECTOMY PROCEDURE & RISKS

Prior to your vasectomy appointment, please review the Patient Consent video below and then complete and submit the form below.

VASECTOMY CONSENT FORM

Please complete the form below to indicate that you have watched the Weekend Vasectomy Clinic’s consent video and that you provide your consent to receive the vasectomy procedure.

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(704) 313-0123

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