To schedule a vasectomy reversal, a $950.00 non-refundable and non-transferable fee (payable by Visa or MasterCard credit/debit card only) is required of all patients. This is credited toward your actual surgery cost and we do NOT charge you this deposit until you have an appointment scheduled. Submitting the registration form does not submit any payment. If you cancel or re-schedule for any reason, your $950.00 will not be refunded, and you have to pay new deposit of $950 if you re-schedule your surgical appointment.
*** Please note that the card used for the deposit will be kept on file and used to get the remaining balance at the 2 week mark unless stated otherwise by the patient. If the attempt for the deposit is made and the card is declined, and the balance is not payed off by 5PM that day the surgery will be cancelled and the deposit will be lost. Please note it is the patients responsibility to be on top of their payments.
*** PAYMENT IS DUE IN FULL EXACTLY 2 WEEKS BEFORE PROCEDURE DATE.
Fill in the OnlineRegistration and Deposit Form and click "Submit". Fields marked * are Required Fields.
After registering, we will call you within 2 business days of receiving your registration.
You don't need to buy an athletic supporter, we provide you a free athletic supporter.