Please confirm the following:

Have you EVER:

• Had a prior vasectomy reversal
• Received chemotherapy
• Used testosterone within the past 12 months

These factors can affect surgical planning.

• Selecting “Yes” does not disqualify you from care. It simply means a free phone/video consultation is needed before scheduling surgery.
• Selecting “No” confirms that none of the above apply and allows you to proceed with scheduling.

Providing accurate information helps ensure your safety and the best possible outcome.

Disclaimer: If you answer “No” despite meeting any of the above criteria, we may need to cancel your appointment—even on the day of—and you will be subject to our cancellation policy. Thank you for your understanding and cooperation.