Request a Consultation with Our Experts

Please, fill out the form below and one of our Patient Care Coordinators will be in touch with you within 24 hours to book or confirm your consultation.

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Consultation Request with Dads Again

Please, put "Not Applicable" for any required fields that do not apply to you.

Name:*

First Last

Phone:*

Email:*

How many years has it been since your vasectomy?*

Do you have a specific date and time in mind? Please, let us know and we will do our best to accommodate you:*

Do you prefer an In-Office Consult or Google Meet Consult?*

In-Office Consult (Tucson, AZ)

Google Meet Consult (HIPAA Compliant & Patient Safe)

Days of the week and time frames you are available:*

Are you experiencing Post Vasectomy Pain Syndrome (PVPS) symptoms?*

We ask this because PVPS consults are a necessary and completely different approach from the surgeons point of view in how to provide the best care for you. They also require a longer length of time for the consult to allow for lengthier questions, plus a consult fee. If you are not upfront about having PVPS, your consult fee will not be rolled into your reversal price.

Yes

I am unsure

Communication with the office of International Center for Vasectomy Reversals:

Preferred Method of Contact:*

Do you give us permission to leave you voicemails?*

Yes

Do you give us permission to communicate with you via email?*

Yes

Consult Request with Dads Again

Request a Consultation with Our Experts

Consultation Request with Dads Again

Communication with the office of International Center for Vasectomy Reversals:

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Request a Consultation with Our Experts

Consultation Request with Dads Again

Communication with the office of International Center for Vasectomy Reversals:

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ADDRESS

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SOCIAL