Online registration is an optional non-insured service which saves you one visit to our office.

If you choose online registration you will not come to the clinic until the day of your procedure, and Dr. Reddoch will call you to ensure that all questions are answered by telephone before the day of your consult and surgery.

A charge of $55.00 will apply to cover this non-insured administrative service, including a telephone discussion with Dr. Reddoch.

You may also choose to have a consultation appointment in our clinic prior to your surgery appointment. In this case the entire cost is covered by OHIP, and you can schedule a consultation now with the Consultation Request Form.

Registration Process

Please complete the form below and we will call you back within 24 hours to confirm your appointment and answer your questions. If you don’t already have a referral we can guide you to a local clinic to get one. Thanks for booking with us.

Vasectomy Registration Form

  • Patient Information

  • Type "N/A" if none
  • Referring Doctor

  • Family Doctor (If different from referring doctor)

  • Family Information

  • Type "N/A" if none
  • Type "N/A" if none
  • Contraception

  • Medical History

  • Surgical History

  • Medications

  • Type "N/A" if none
  • Allergies

  • Type "N/A" if none
  • Sperm Storage

  • Vasectomy Agreement

    You must consent to the following: