Book your Vasectomy With NZ's Leading Provider

SNIP location*

Auckland Avondale - Booking date*

Auckland Central - Booking date*

Auckland Manukau - Booking date*

Auckland Remuera - Booking date*

Auckland Takapuna - Booking date*

Christchurch - Booking date*

Dunedin - Booking date*

Gisborne - Booking date*

Hamilton - Booking date*

Invercargill - Booking date*

Lower Hutt - Booking date*

Masterton - Booking date*

Napier - Booking date*

Nelson - Booking date*

New Plymouth - Booking date*

Palmerston North - Booking date*

Queenstown - Booking date*

Rotorua - Booking date*

Tauranga - Booking date*

Wellington - Booking date*

Whangarei - Booking date*

Preferred time*

Date of Birth*

Age*

Phone Number*

Email Address*

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What gender do you identify with?*

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Please state what gender you identify with*

What is your ethnicity?*

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Additional ethnicity?

Relationship status*

Number of Children*

Reason for getting a vasectomy?*

Please provide further information for your reason to get a vasectomy*

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Is your partner currently pregnant?*

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What is the due date of the baby?*

Are you registered with a Medical Centre?*

General Practitioner Name

Name of Medical Centre*

Are you allergic to any medication?*

What medication are you allergic to?*

Have you had any groin injuries or groin surgery?*

For example: vasectomy reversal, twisted testicles, hydrocele, inguinal hernia

Details of groin injury or groin surgery*

Would you like to book a phone appointment with a nurse before your Snip to discuss the procedure and any other questions you have?*

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Please select any other ethnicities you identify with (2)

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Please select any other ethnicities you identify with (3)

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Please select any other ethnicities you identify with (4)

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Please select any other ethnicities you identify with (5)

Do you have insurance and who is your insurance provider?*

Unfortunately, we are not partnered with your insurance company. Please contact them directly to check if your policy covers vasectomy. If it does, you can submit an insurance claim to your provider after your procedure.

Do you need a quote from us for your WINZ application?*

Service Fee*

Price:

Message

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