Helping men become non-productive members of society


Online Vasectomy Registration

Submit this registration ONLY if you have obtained a referral from your doctor and you do not wish to have an initial consultation prior to vasectomy. For a consultation please phone: 604.539.1915 or 250.658.9212 Before you register online, you must:

  • Have a recent referral from your doctor.
  • Read the patient information section found on this web site and ensure all your questions have been answered.
  • Be sure that you do not want to bank sperm prior to vasectomy.

If you are not sure, phone us for a consultation. Once you submit this registration:

  • Our office will phone you to book your vasectomy, or to discuss the need for an office consultation.
  • A refundable cancellation deposit ( credit card) is required at the time of booking.


Dr. Follows reserves the right to postpone or cancel your vasectomy for any of the following reasons:

  • Aspirin (ASA). None is allowed for at least 7 days pre-op.
  • Anti-inflammatory drugs. None for at least 2 days pre-op.
  • Alcohol. None for 48 hours pre-op.
  • Technical issues. The rare patient will have scarring or some other condition at or near the vas, e.g. hernia repair. (Under these circumstances we require a pre-op consultation/examination.)

If you have any questions phone 604.539.1915. If you would like to proceed with registration, please fill out this form completely and submit. We look forward to seeing you in a few weeks!

Registration Form

  • Personal Information

  • Contact Information

  • Occupation

  • Referring Physician (DOCTOR'S REFERRAL IS MANDATORY)

  • If Different from Referring Physician

  • Family Information

  • How many years?
  • Vasectomy Preparedness

  • Medical History

  • Ft, In
  • lbs.