For Referring Providers

For Referring Providers

The physicians, APPs, physical therapists and staff at GJ Vasectomy are honored to partner with you during the care and treatment plan of your patient. We are committed to working with our colleagues in the medical community to provide preeminent, evidence-based care for patients. We value the trust you put in us and will pay it forward in the way we care for your patients.

Patient Referral Form

To refer someone to our practice, please complete the referral form below:

Fill Out Form