FREE VASECTOMY REVERSAL CONSULTATION (972) 996-7177
5616 Warren Parkway #101, Frisco, Texas 75034Directions
For prospective patients located within the United States, please call (972) 996-7177 to schedule your free Vasectomy Reversal Phone consult with Dr. Buch or contact us online.

For prospective patients located in Alaska, Hawaii or outside of the United States, please print the form below and email it back to us at info@vasectomyreversal.com. We will contact you as soon as your form is reviewed by Dr. Buch.

Please choose from the following formats.

Vasectomy Reversal Questionnaire - Coming soon...

NOTE: The above document was created in Microsoft Word and requires Microsoft Word to open, edit and print.

Vasectomy Reversal Questionnaire - Coming soon...

NOTE: The above document is stored in a pdf format, and requires the Adobe Acrobat Reader (version 4.0 or higher) to open or print. The Reader application may be downloaded without charge from the Adobe Web site.

Patient Registration Form - Coming soon...

NOTE: For your convenience, you may print and complete our Patient Registration Forms above prior to your scheduled appointment. You may submit the completed forms, along with any attachment, before your office visit. Please note that we will also need legible copies of the front and back sides of your current insurance card (if applicable). Feel free to contact our office should you have any questions. Thank you and we look forward to helping you.
Client Testimonials
~ Love, Joann, Bill and Matthew
Dear Dr. Buch
Bill and I would like to thank you for everything and for our beautiful son. We think of you often, and how lucky we were to have had such a wonderful Doctor. We hope that everything is going well for you and we wanted to send you some pictures of Matthew. We will never forget you and how you helped make our very special wish come true. Thanks again.
Appointment Request