Forms & Policies

For your convenience, Vasectomy and Male Infertility Center of Connecticut provides the following forms that you may download and complete before visiting us. Otherwise the applicable forms will need to be completed upon arrival at our office. At regular intervals, you will be asked to update this information.

Forms:

• Patient Intake Form
• Fertility Questionnaire
• Consent for Vasectomy
• Confidential Communications Request
• Permissions, Release, Assignment and Notification Form

Other:

• Notice of Privacy
• Instructions for Vasectomy