Online Vasectomy Registration for Lutz - Main Office

Advantages

1. Saves time - This is precisely the information that we have always asked each patient to provide on the day of his first visit. By registering online before your first visit, you will not have to fill out a similar form on the day of your consultation and/or vasectomy, unless your vasectomy is performed at a facility other than the doctor's office, in which case they may require that you complete a few of their forms.
2. Accuracy of information - By registering in the privacy of your own home or office, you will not be distracted by other activity within our office on the day of your visit. You may also have access to medical information (prior surgeries, medications, names of doctors) that you may not recall on the day of your visit. Plus we can read it ... on the handwritten info sheets completed in our office, you'd be surprised how many 4's look like 9's and 9's look like 7's! This site is secure and your information is kept confidential.
3. Peace of mind that there will be no surprises on the day of your visit because you are completely informed and prepared. In fact, so much is learned online that a preliminary consultation visit is not required.
4. Safety - Pre-registration gives your doctor and his or her staff the opportunity to review your history before you arrive and to call you if there are any medical or social concerns, especially important for those patients who choose to have their consultation and procedure on the same day.

Instructions

1. Please review our step by step process. After completing all steps, proceed below.
2. To schedule, a deposit of $150, payable by Visa or MasterCard credit/debit card only, is required of all patients except those whose procedures are funded through a county health department. The deposit is fully refundable until 7 calendar days prior to the appointed vasectomy date, non-refundable thereafter for either cancellation or postponement. If you decide not to schedule and you do not respond to our calls or texts, you must request a refund of your deposit.
3. By registering online you consent to receiving electronic communication (texts and emails) from our office to the cell phone number and email address that you provide in the registration. After registering, please call our office between 9 AM and 4 PM, M-F, (813-536-1430) to secure an appointment date and time. You will then receive confirmation by email.
4. Fill in the Registration and Deposit Form and click "Submit". Fields marked * are Required Fields. The information comes to our database as though we entered it ourselves from information provided by you in writing (as office forms) or by phone. It is secure and confidential. (In fact, your credit card information goes directly to PayPal and we have no access to it when you pay online.) Once we print it, we have your pertinent medical history and no need to have you fill out more forms. You will see the printout and have an opportunity to make changes on the day of your visit.