Forms

Promocja świąteczna: zabiegi W dniach 12, 13, 14, 28, 29, 30 grudnia 2025 w obniżonej cenie: 2199zł (2399zł). Szczegóły

The forms must be completed, printed, signed and brought with you to the procedure. Please check that you have all the documents before you leave.

The forms are available in an active version. This means that you can fill them in directly on your computer, then print and sign them. PDF forms can be opened and edited in programmes such as Adobe Acrobat Reader (free version).

Forms to download - vasectomy
Forms to download - vasectomy reversal
What else before the procedure

Before the procedure, the following laboratory tests should be performed: complete blood count, HBS antigen and coagulation system. The tests should be performed at a laboratory in your place of residence.

Please bring the results and completed forms with you on the day of the procedure.

Before the procedure, do not forget to have a “small haircut” at the base of the “single mast” (this does not apply to your own head). Below, we show you exactly how to do this:

Current dates for vasectomy procedures
KATOWICE
KATOWICE

DR ZAJDA

WROCŁAW

DR KRETOWICZ

WROCŁAW
available - available dates
no free - no free dates
weekend - appointments over the weekend

Take responsibility for contraception in the Family

Free dates Registration