Request Appointment

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


Schedule a pre-procedure consultation with or without scheduling a 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). 

You have the option of scheduling your vasectomy now, or waiting until after the consultation. If you schedule it now, you’ll need to put down a $120 deposit. This is refundable until 2 weeks prior to the vasectomy appointment.

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.

Schedule a vasectomy without a pre-procedure consultation

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 prior to the vasectomy, or just schedule the vasectomy?
Vasectomy Scheduling--you have the option of waiting until after the consultation to schedule your vasectomy, or scheduling now. If you schedule now, you'll put down a $120 deposit. This is refundable until 2 weeks prior to the appointment.
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? *

Preferred pharmacy details

We'll need the exact name and address (street number, street name, city, and zip code). We can't use "King Soopers at 30th and Arapahoe". You'll need to give us King Soopers Pharmacy, 1650 30th St, Boulder, CO 80301.
Address
Address
City
State/Province
Zip/Postal
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? *
What location would you like to use for your vasectomy? *

VASECTOMY SCHEDULING

After choosing a location, you'll see available dates and times. If you'd like to see possible dates at other locations, you can change the location above.

Consent for Treatment, Privacy Policy and Use of Electronic Communication

Acknowledgement of Consent for Treatment and Privacy Policy *

Deposit to hold vasectomy appointment

Credit card information

Consult (Hidden)

Procedure (Hidden)