Request Appointment

We’re glad your thinking about taking the next step! You’ve got two options.


Schedule a pre-procedure consultation AND your vasectomy.

Please look over the information at “Learn more and watch Dr. Tonozzi’s Video there.

Complete the form below and choose a date/time for the pre-procedure consultation (to be done using web conferencing) AND choose a date/time for your vasectomy.

At the time of the consultation, if you decide you will proceed, you’ll need to put down a $120 deposit to hold the vasectomy appointment. You can cancel or change this appointment time with a full refund until 2 weeks prior to the appointment. If you’re not sure after having the consultation, we’ll cancel the vasectomy appointment and you can make the appointment and put down the deposit later.

If you feel you need a medication prescribed to help you relax prior to the procedure (this is not usually recommended—it’s only for men who feel VERY nervous), then you’ll need to use this option.

Skip the pre-procedure consultation and just schedule your vasectomy.

Please look over the information at “Learn more” and watch Dr. Tonozzi’s video there.

Complete the form below to schedule your vasectomy. If Dr. Tonozzi has concerns with any of your information, he’ll be in touch with you.

You’ll put down a $120 deposit during the process below. You can cancel or change this appointment time with a full refund until 2 weeks prior to the appointment.

You can NOT use this process if you feel you need medication prescribed to take prior to the procedure. Medication is not usually recommended—it’s only for men who feel VERY nervous.

Request Appt
Would you like to schedule a consultation and vasectomy, or skip the consultation and just schedule your vasectomy?
Language preference
Address
City
State/Province
Zip/Postal

Medications

for example, lisinopril, 20 mg
for example, one tablet twice daily

Medication Allergies

You have the option of having a medication (one tablet of lorazepam is generally used) prescribed to help you relax prior to the procedure. This is not generally recommended; it’s only recommended for guys who are VERY nervous. Would you like to use this?
Have you fainted with medical procedures?
Do you have a history of genital or urinary conditions? *
Please mark any you've had, explain something else OR "No genital or urinary conditions for me"
Are you in a long term relationship? *
Please check here if you are a current Trailhead Clinics member
You can join the video consultation from a phone or computer. What device will you be using for that session, and how do you prefer to connect? *

VASECTOMY SCHEDULING

Choose a date and time for your procedure below, based on location. In order to hold this date/time, you'll need to put down a $120 deposit at the time of the consultation. If you’re skipping the consultation, you’ll put down the $120 deposit now. The deposit is refunded if you cancel or change your appointment at least 2 weeks in advance. Note that you can change the preferred location if you want to look at dates for other locations.
Preferred location for your procedure *

Consent for Treatment, Privacy Policy and Use of Electronic Communication

Acknowledgement of Consent for Treatment and Privacy Policy *

Deposit to hold vasectomy appointment

Address on credit card
Address on credit card
City
State/Province
Zip/Postal

Physician--Consult

Procedure