Thank you for scheduling your appointment online. You are almost done!
Please download a copy of our health history form (see the link below) and email it back to us as soon as possible. This is to check for health issues which might pose a problem for your procedure. Your spot is not considered reserved until we have received the Health History Form and Deposit.
Your deposit is refundable if your request is made more than three weeks prior to the scheduled surgery. Surgery may be rescheduled at any time - however another deposit is required if any changes are made within three weeks of the originally scheduled date.
On the day of surgery, the balance ($2700) is due before the procedure. You may pay this with cash, cashier's check or credit card (Visa, MasterCard, Discover). There is a $200 discount for cash or cashier's check payment of the balance the day of surgery, as we have significant extra costs with credit card transactions.
You will be contacted when everything has been received to confirm your appointment. We will also contact you two weeks before your appointment date with pre- and post-operative instructions. These are also available on our website.
Midwest Vasectomy Reversals 6744 Clayton Road, Suite 304 St. Louis, MO 63117 636-492-1323 email@example.com