Vasectomy referral request

Use this service to request a vasectomy referral.

You can use this service if you:

• are registered at the surgery

Before you start

We’ll ask you for:

• your first and last name, date of birth, sex, postcode, email and phone number
• if applicable, the details of the person you are completing the form on behalf of
• other requirements such as… NHS number, height and weight, a blood pressure reading

Start now

You can also phone us on 01452 529933.