ACORN SURGERY

The Oak Tree Centre, 1 Oak Drive, Huntingdon, Cambridgeshire, PE29 7HN

Telephone: 01480 483100

Sorry, we're currently closed. Please call NHS 111

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Vasectomy Consent

Consent form for the operation of VASECTOMY.
Name(Required)
Consent(Required)
Consent(Required)
Consent(Required)
Consent(Required)
Consent(Required)
Consent(Required)
Consent(Required)
Consent(Required)
Consent(Required)
Date of Procedure(Required)
Alternatives to vasectomy discussed(Required)
I confirm that I have read (or had read to me) and understand the above form and I am satisfied with the conditions stated therein.
Name of Doctor
I confirm that I have explained to the patient /and partner* the nature and effect of vasectomy as detailed above.

Further, I confirm that the patient has read (or had read to him) the above form and I am satisfied that he understands what is proposed, has no further questions, and is happy to proceed with a vasectomy.
This field is for validation purposes and should be left unchanged.

Opening Times

  • Monday
    08:00 until 18:00
  • Tuesday
    08:00 until 18:00
  • Wednesday
    08:00 until 18:00
  • Thursday
    08:00 until 18:00
  • Friday
    08:00 until 18:00
  • Saturday
    CLOSED
  • Sunday
    CLOSED
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