Fillable Online Marie Stopes UK Vasectomy Referral Form 2025

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  1. Click ‘Get Form’ to open the Fillable Online Marie Stopes UK Vasectomy Referral Form in our platform.
  2. Begin by filling out the 'Surgery / Practice Making Referral' section. Enter the GP's title, forename, surname, phone number, mobile number, and email address.
  3. Next, provide the surgery/practice address details including address lines, town/city, and postcode.
  4. In the 'Patient for Referral' section, indicate whether the patient is seeking private treatment or NHS treatment. If it's an NHS referral, include the CCG name.
  5. Fill in the patient's personal information: title, forename, surname, contact details (phone and email), address, NHS number, and date of birth.
  6. Record the patient's height and weight in the designated fields.
  7. The GP must confirm their details by printing their name and signing where indicated. Don't forget to add the GP surgery stamp.

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MSI Reproductive Choices as an organisation lobbies in favour of access to abortion, and provides a variety of sexual and reproductive healthcare services including advice, vasectomies, and abortions in the UK and other countries where it is legal to do so.
Getting a vasectomy Make an appointment at your GP surgery if youre thinking about having a vasectomy. You may also be able to make an appointment at a sexual health clinic. A nurse or doctor can explain whats involved in a vasectomy, including the possible risks.
Getting a GP referral for an NHS-funded vasectomy Your GP will need to fill out a referral form and send it to us. Alternatively, your GP may wish to refer you using the NHS eReferral system.
9 months waiting list from receipt of GP referral to pre-assessment telephone appointment with a nurse. 14 months waiting list from nurse telephone pre-assessment appointment to vasectomy procedure appointment. Analysis Samples should take place a minimum of 16 weeks after the vasectomy procedure.
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