Get Canada Gentle Procedures Clinic Vasectomy Registration Form 2018-2025

Completing the Canada Gentle Procedures Clinic Vasectomy Registration Form online is a straightforward process that requires careful attention to detail. This guide will provide you with step-by-step instructions to help you navigate the form efficiently and accurately.

Follow the steps to complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the patient information section, including your last name, date of birth, address, home phone, preferred contact method, emergency contact name, first name, care number (if available), OHIP card number, city, postal code, email, and phone number.
3. In the family information section, indicate your current relationship status by selecting from the options provided. Fill in the length of your relationship and your partner's age. Answer whether you have children together, from previous relationships, or if your partner is currently pregnant.
4. In the contraception section, select all applicable birth control methods from the list, including options like the birth control pill, condom, or other methods you may wish to specify.
5. In the medical history section, check all conditions that apply to you, such as any bleeding problems or medical conditions. Provide additional details where necessary.
6. Fill out the surgical history section by checking any relevant procedures you have previously undergone, including hernia repairs or previous vasectomies.
7. List any medications you are currently taking in the medications section, including dosage.
8. In the allergies section, provide details of any allergies you may have.
9. Read through the vasectomy agreement carefully, initialing where indicated to confirm your understanding and agreement to the terms outlined.
10. Finally, review all entered information for accuracy. You can save changes, download, print, or share the completed form as needed.

Start completing your Canada Gentle Procedures Clinic Vasectomy Registration Form online today for a smoother and quicker registration process.