Terms And Conditions Of Use
And Clinical Service Agreement

Last Updated and Effective Date: July, 2026

IMPORTANT LEGAL NOTICE AND MEDICAL DISCLAIMER

Please Read This Entire Document Carefully Before Accessing, Using, Or Interacting With This Website, Or Booking Any Clinical Services. This Agreement Contains A Binding Individual Arbitration Agreement And A Class Action Waiver That Affect Your Legal Rights.

This website (the “Site”) is owned, operated, and maintained by Thulasi Shanmukanathan, M.D., PLLC (doing business as Shan Vasectomy), hereinafter referred to as “the Practice,” “we,” “us,” or “our.”

Dr. Thulasi Shanmukanathan is a licensed physician in the State of Michigan, board-certified in family medicine, specializing in the provision of office-based, no-needle, no-scalpel vasectomy procedures. The physical clinical offices of the Practice are located at:
26711 Woodward Avenue, Suite LLB, Huntington Woods, MI 48070
Clinical Phone: 313-314-6663
Practice Email: shanvasectomy@gmail.com

These Terms and Conditions of Use and Clinical Service Agreement (“Terms of Use” or “Agreement”) constitute a legally binding contract between you (“visitor,” “user,” “patient,” “prospective patient,” or “you”) and the Practice. This Agreement governs your physical and digital access to, and use of, the Site, its educational content, the booking mechanisms, communication forms, and the general terms of clinical service engagement.

By accessing, browsing, reading, bookmarking, or using any feature, form, scheduler, or portal on this Site, you explicitly acknowledge and agree that you have read, understood, and agreed to be bound by all the terms, conditions, disclosures, and legal disclaimers contained herein. If you do not agree with each and every provision of this Agreement, you must immediately cease all use of this Site and refrain from submitting any personal, financial, or clinical information through its digital interfaces.

1. No Medical Advice or Doctor-Patient Relationship Established via Digital Use

1.1 Educational and Informational Nature of Digital Content

All materials, articles, medical illustrations, written blog posts, recovery timelines, procedural breakdowns, technology explanations (specifically regarding the MadaJet pressure injector, the no-needle anesthesia delivery, micro-puncture access, and the Triple Protection Method of vas deferens occlusion), and answers to frequently asked questions (FAQs) published on this Site are provided strictly for general educational and informational purposes.

No digital content on this website is intended to serve as, or to be a substitute for:

• Professional medical advice, diagnosis, clinical evaluation, or treatment planning.
• A personalized surgical consultation with Dr. Thulasi Shanmukanathan or any other qualified, licensed healthcare professional.
• An official determination of your physical suitability, anatomical viability, or psychological readiness for a permanent male sterilization procedure (vasectomy).

1.2 No Estoppel or Establishment of Physician-Patient Relationship

The transmission of information from this Site, the receipt of informational materials from us, or your digital interaction with any forms, online schedulers, or email addresses (including shanvasectomy@gmail.com) does not create, establish, or imply a physician-patient, doctor-patient, clinical, or fiduciary relationship between you and Dr. Thulasi Shanmukanathan, or between you and the Practice.

A formal physician-patient relationship with Dr. Thulasi Shanmukanathan is established only and exclusively when both of the following events have occurred in physical sequence:

1. You have completed, signed, and submitted our comprehensive, formal paper or secure electronic pre-procedural clinical intake forms, HIPAA authorization disclosures, and surgical informed consent forms.
2. Dr. Thulasi Shanmukanathan has physically met with you in person at our clinical facility in Huntington Woods, Michigan, conducted an in-person physical assessment of your anatomy, reviewed your specific medical history, and explicitly accepted you as a patient for clinical care.

1.3 Urgent Medical Conditions and Emergency Warning

This Site, its contact forms, and its clinical email address (shanvasectomy@gmail.com) are not monitored continuously and are not designed, intended, or equipped to handle clinical emergenciIf You Are Experiencing A Medical Emergency, Significant Acute Pain, Uncontrolled Post-operative Bleeding, Massive Swelling Of The Scrotum, Chills, High Fever, Or Any Other Life-threatening Symptom, You Must Immediately Dial 911 Or Proceed To The Nearest Hospital Emergency Department. Never Delay Seeking Immediate Professional Medical Treatment Because Of Something You Have Read On This Site.

IATE PROFESSIONAL MEDICAL TREATMENT BECAUSE OF SOMETHING YOU HAVE READ ON THIS SITE.

2. Clinical Scope, Specialization, and General Disclosures

2.1 Focus of Practice

The Practice is specialized, single-specialty clinical facility focused exclusively on the delivery of office-based, minimally invasive, no-needle, no-scalpel vasectomy procedures.

While Dr. Thulasi Shanmukanathan is a board-certified family physician with extensive training in general primary medicine, this Practice does not provide general primary care, comprehensive urological management for non-vasectomy conditions (such as kidney stones, prostate pathology, erectile dysfunction, or urinary tract infections), or ongoing long-term medical management. All clinical services rendered are strictly bounded by the pre-procedural, intra-procedural, and immediate post-procedural care related to the vasectomy itself.

2.2 Permanent and Irreversible Nature of Vasectomy

By reading this Site and considering our services, you are explicitly informed that a vasectomy is a highly effective, permanent method of male contraception. It is designed and intended to be irreversible.

While microsurgical vasectomy reversal procedures exist, they are highly complex, exceedingly expensive, typically not covered by commercial health insurance, and have no guarantee of clinical success.

Therefore, you should only seek clinical treatment from the Practice if you and your partner (if applicable) are entirely and absolutely certain that you do not want to biological father any children in the future, under any foreseeable or unforeseeable life circumstances.

2.3 Delayed Sterility and Essential Contraceptive Warning

IMPORTANT CLINICAL COMPLIANCE RULE: You are hereby notified that a vasectomy does not provide immediate contraceptive protection or immediate sterility. Active, viable, fertilizing sperm remain upstream in your reproductive tract (specifically within the seminal vesicles and vas deferens) immediately following the completion of the procedure.

• You must continue to use an alternative, highly reliable method of contraception (such as condoms, oral contraceptive pills, or intrauterine devices) during all sexual intercourse following your vasectomy.
• You must continue this alternative birth control until you have submitted your post-procedural semen sample at approximately twelve (12) weeks post-procedure, and our clinic has officially analyzed the sample and issued a formal, written clinical clearance confirming the complete, absolute absence of viable sperm (azoospermia).
• Failure to comply with this post-operative protocol can and does result in unplanned, unwanted pregnancies. The Practice, its clinical director Dr. Thulasi Shanmukanathan, and its staff accept absolutely no liability for pregnancies resulting from unprotected sexual intercourse occurring prior to formal clinical clearance.

3. Booking, Deposit, and Cancellation Policies

To maintain our high standard of specialized care, minimize patient wait times, and manage clinical scheduling efficiently, the Practice enforces a strict Booking, Deposit, and Cancellation Policy. By initiating a booking request online or via telephone, you agree to these commercial terms in full.

3.1 Consultation and Procedure Structure

We offer two pathways for our patients:

1. Consultation Only: A private, face-to-face consultation, clinical history review, and physical examination with Dr. Thulasi Shanmukanathan.
2. Same-Day Consultation and Procedure: A combined, streamlined visit where your diagnostic consultation, physical examination, and physical no-needle, no-scalpel vasectomy procedure are completed consecutively within a single, unified appointment slot.

3.2 Appointment Booking Deposit

To secure and confirm any appointment slot (either Consultation Only or Same-Day Consultation and Procedure) on our schedule, you must pay a refundable deposit of $50.00 at the time of booking. This deposit is processed securely via electronic credit card payment through our authorized payment gateway.

• The $50.00 deposit is applied directly toward your outstanding balance for services rendered on the day of your appointment.
• If you are booking a “Consultation Only” and subsequently choose not to proceed with the vasectomy procedure, the $50.00 deposit is applied to cover the clinical time and evaluation provided by Dr. Thulasi Shanmukanathan during that consultation.

3.3 Cancellation and Rescheduling Window

If you need to cancel your appointment or reschedule to a different date or time, you must provide the Practice with a minimum of forty-eight (48) hours advance notice prior to your scheduled appointment time.

Notice must be provided by speaking directly with a representative of our practice over the phone during normal business hours, or by sending a timestamped email to shanvasectomy@gmail.com.

• Timely Cancellations: If you cancel your appointment with more than 48 hours notice, your $50.00 deposit will be refunded in full to your original payment method.
• Late Cancellations and No-Shows: If you cancel your appointment with less than 48 hours notice, or if you fail to show up for your scheduled appointment, the $50.00 deposit is forfeited in full as liquidated damages to compensate the Practice for the reserved clinical time, loss of booking availability for other patients, and administrative overhead. This forfeiture is non-negotiable.

3.4 Anatomical Ineligibility and Refund Policy

In rare, isolated clinical instances, when a patient books a Same-Day Consultation and Procedure, Dr. Thulasi Shanmukanathan may determine during the physical examination that the patient is anatomically unsuitable or clinically ineligible for an office-based, no-scalpel vasectomy under local anesthesia. This can occur due to conditions such as severe scarring, undescended testicles, active local infections, massive hydroceles, or severe inguinal hernias that require a formal, hospital-based operating room environment under general anesthesia.

If Dr. Thulasi Shanmukanathan determines that you are clinically ineligible to safely undergo the procedure in our office, your physical procedure will not be performed. In such cases:

• You will still be responsible for the professional consultation and physical examination clinical fee of $50.00 (which will be satisfied by your booking deposit).
• You will not be charged the remaining balance of the surgical fee.
• You will receive a formal referral to an appropriate hospital-based urological specialist if desired.

4. Fees, Financial Policies, and Insurance Disclaimers

4.1 All-Inclusive Flat Fee Structure

The Practice operates primarily on an transparent, predictable, all-inclusive pricing structure designed to protect patients from unexpected hospital facility fees, separate anesthesiology bills, or surprise laboratory invoicing.

Our current all-inclusive fee for self-pay patients is $600.00 USD. This comprehensive fee covers:

• The initial physical diagnostic consultation and physical anatomical assessment on the day of the procedure.
• The physical performance of the office-based, no-needle, no-scalpel vasectomy procedure by Dr. Thulasi Shanmukanathan.
• All local anesthetic agents (including the MadaJet pressure delivery consumables), surgical supplies, and immediate post-operative wound care supplies used during your office visit.
• Standard telephone or email post-operative clinical follow-up support directly related to your recovery.
• One (1) post-operative semen analysis completed by our designated laboratory partners at or after twelve (12) weeks post-procedure.

4.2 Non-Inclusion of External Complications

The all-inclusive fee of $600.00 does not cover external medical services, including but not limited to:

• Emergency department visits, hospital admissions, or external urgent care clinic visits arising from rare, unexpected post-operative complications (such as hematomas, deep wound infections, or severe localized bleeding).
• Prescription medications filled at commercial pharmacies (such as prophylactic antibiotics, prescription pain relievers, or specialized anti-inflammatory medications).
• Additional semen analyses beyond the single included test, should they be clinically required due to persistent sperm presence or indeterminate laboratory results.

4.3 Insurance Reimbursement and Out-of-Network Disclaimer

PLEASE TAKE NOTE: Shan Vasectomy operates as a fee-for-service specialty clinic. We may not participate with, or be in-network for, your specific commercial health insurance plan, managed care network, or employer-sponsored healthcare program.

• Payment Due at Time of Service: You are solely, personally, and fully responsible for the payment of the $600.00 fee at the time clinical services are rendered, regardless of your insurance coverage status.
• Superbill Provision: Upon request, we will gladly provide you with an itemized medical receipt (commonly referred to as a “Superbill”) containing standard ICD-10 diagnostic codes and CPT procedural codes. You may submit this Superbill directly to your insurance company to seek direct reimbursement or apply the cost to your out-of-network deductible.
• No Guarantee of Reimbursement: The Practice makes absolutely no representations, warranties, or guarantees that your insurance provider will reimburse you for any portion of our fees. Insurance coverage policies vary widely, and it is your sole responsibility to contact your insurance carrier directly, prior to booking, to verify your out-of-network benefits, pre-authorization requirements, and reimbursement eligibility for CPT code 55250 (Vasectomy, unilateral or bilateral, including post-operative semen examination).
• Medicaid and Medicare Notice: Our services may not be covered by government-sponsored healthcare programs such as Medicare or Medicaid. If you are a Medicare or Medicaid beneficiary, you must notify our office prior to booking so we can determine if we have the legal and administrative capacity to accept you under specialized private contract rules.

5. Electronic Communications, Security, and Privacy

5.1 Vulnerability of Standard Digital Communications

By utilizing the contact forms, booking widgets, and general email addresses (shanvasectomy@gmail.com) provided on this Site, you explicitly acknowledge and understand that standard internet-based email and digital web forms are not fully secure, encrypted, or protected from potential interception, hacking, or unauthorized viewing by third parties.

Standard email does not meet the strict technical security standards required for Protected Health Information (PHI) under the Health Insurance Portability and Accountability Act (HIPAA).

5.2 Consent to Non-Secure Communications

If you choose to communicate with us using unencrypted digital channels (such as sending an email containing details about your scrotal anatomy, post-operative pain levels, sexual history, or personal identity), you are explicitly consenting to receive replies and ongoing communications from us via those same unencrypted channels.

You acknowledge that you assume all risks associated with the potential compromise of your privacy, confidentiality, and data security resulting from such non-secure communication methods.

5.3 HIPAA Privacy Practices

For formal clinical communications, billing, and the exchange of confidential medical records, the Practice utilizes secure, HIPAA-compliant electronic health record (EHR) platforms, secure patient portals, or physical paper documents.

Upon formally initiating clinical care with us, you will be provided with our comprehensive HIPAA Notice of Privacy Practices, which outlines in rigorous detail how we protect, use, store, and disclose your protected health information in strict compliance with federal and State of Michigan healthcare privacy laws.

6. Use of Website Content and Intellectual Property Rights

6.1 Ownership of Site Content

All content, visual assets, text, coding, site design, graphic layouts, custom illustrations, icons, metadata, and brand assets displayed on or embedded within this Site, including the specialized copywriting developed to describe our “no-needle, no-scalpel” clinical protocols and the “Triple Protection Method” are the exclusive intellectual property of Thulasi Shanmukanathan, M.D., PLLC and are protected in full by United States and international copyright, trademark, and unfair competition laws.

6.2 Limited Revocable License for Personal Use

You are granted a limited, personal, non-exclusive, non-transferable, non-sublicensable, and fully revocable license to access, view, and read the content on this Site for your personal, non-commercial, educational use only.

You may print a single copy of our informational articles, preparation instructions, or recovery timelines solely for your own personal educational reference, or to share with your intimate partner.

6.3 Absolute Prohibitions on Modification and Redistribution

Under no circumstances may you copy, reproduce, republish, scrape, frame, mirror, modify, redistribute, sell, translate, or commercially exploit any text, layout, code, or images from this Site without obtaining our express, written, signed permission.

This prohibition applies to other medical clinics, urology practices, competitor digital platforms, search engine optimization agencies, and medical marketing entities. Unauthorized use of our intellectual property will be pursued legally to the maximum extent of the law.

7. Prohibited Website Activities

You agree that you will not, under any circumstances, engage in any of the following prohibited activities while interacting with this Site:

• Automated Data Extraction: Utilizing any robot, spider, offline reader, site search/retrieval application, scraper, or other manual or automated device or process to retrieve, index, data-mine, or in any way reproduce or circumvent the navigational structure or presentation of the Site.
• Infrastructure Interference: Taking any action that imposes, or may impose in our sole discretion, an unreasonable or disproportionately large load on our digital hosting infrastructure or servers.
• Malicious Software Transmission: Uploading, posting, emailing, or otherwise transmitting any material that contains software viruses, Trojan horses, worms, time bombs, keystroke loggers, spyware, or any other malicious, destructive, or disabling computer code or programs designed to disrupt or damage Site functionality.
• Form Spamming and Harassment: Submitting false, fraudulent, misleading, or intentionally inaccurate information through our contact or booking forms, or using our communication channels to harass, stalk, threaten, or abuse our staff, physicians, or other users.
• Security Bypass: Attempting to probe, scan, or test the vulnerability of our system or network, or breaching security or authentication measures without proper authorized written consent.

8. General Disclaimers and Limitations of Civil Liability

8.1 “As-Is” and “As-Available” Digital Services

This website and all digital services, booking links, tools, and written information provided herein are delivered on an “As-Is” and “As-Available” basis, without warranties, representations, or conditions of any kind, whether express, implied, or statutory.

To the fullest extent permitted by applicable law, the Practice explicitly disclaims all warranties, including but not limited to:

• Implied warranties of merchantability, fitness for a particular educational purpose, and non-infringement of third-party intellectual property rights.
• Warranties that the Site will operate without interruption, lag, server downtime, error, typographical mistakes, or unexpected data loss.
• Warranties that any server or hosting infrastructure delivering this Site is free of viruses, malware, or other harmful digital components.

8.2 Comprehensive Exclusion of Damages

In no event and under no legal theory (whether in contract, tort, negligence, strict liability, medical malpractice, or general equity) shall Thulasi Shanmukanathan, M.D., PLLC, Dr. Thulasi Shanmukanathan personally, our clinic staff, employees, independent contractors, healthcare partners, hosting providers, or marketing agencies be liable to you or any third party for any:

• Direct, indirect, incidental, consequential, special, exemplary, or punitive damages.
• Damages resulting from loss of personal privacy, unauthorized data access, security breaches, loss of data, loss of profits, or business interruption.
• Personal injury, physical discomfort, emotional distress, or adverse medical outcomes arising from your reliance on informational content published on this website, or your delay in seeking professional medical evaluation for any symptom.

8.3 Maximum Cap on Liability

In any jurisdiction where the absolute exclusion of implied warranties or consequential damages is legally prohibited, our total collective liability to you for any claim, dispute, cause of action, or lawsuit arising out of or relating to your use of this Site (whether under these Terms of Use or otherwise) shall be strictly capped and limited to $50.00 USD (the amount of your initial booking deposit).

Indemnification Agreement

You agree to fully defend, indemnify, hold harmless, and release Thulasi Shanmukanathan, M.D., PLLC (doing business as Shan Vasectomy), Dr. Thulasi Shanmukanathan personally, and our members, officers, employees, clinical staff, and agents from and against any and all civil claims, demands, liabilities, lawsuits, judgments, losses, damages, costs, and expenses (including reasonable attorneys’ fees and administrative court costs) arising directly or indirectly out of, or in any way connected to:

• Your physical or digital access to, or misuse of, this Site, its contact forms, booking features, or informational content.
• Your violation of any provision, covenant, or warranty contained within this Agreement.
• Your violation of any third-party intellectual property, privacy, or publicity rights.
• Your failure to follow formal post-operative clinic instructions (specifically including the mandatory requirement to use alternative contraception until formal post-procedural semen analysis and written clearance are completed).

Mandatory Arbitration, Dispute Resolution, and Class Action Waiver

PLEASE READ THIS SECTION CAREFULLY. IT LIMITS YOUR CONSTITUTIONAL RIGHT TO BRING A LAWSUIT IN A COURT OF LAW, HAVE A TRIAL BY JURY, AND PARTICIPIPATE IN A CLASS ACTION LAWSUIT.

10.1 Obligation for Amicable Direct Mediation

In the event of any legal dispute, controversy, claim, or difference of opinion arising out of or relating to your use of this Site, your interactions with our booking system, your financial transactions with the Practice, or the interpretation of these Terms of Use (each, a “Dispute”), both parties agree to first attempt to resolve the Dispute through good-faith, informal negotiations.

• You must initiate this process by sending a formal, written “Notice of Dispute” detailing the facts, circumstances, and requested relief via Certified Mail to our administrative office address at 26711 Woodward Avenue, Suite LLB, Huntington Woods, MI 48070.
• The Practice will have thirty (30) business days from the date of receipt to respond in writing, and both parties shall make reasonable, good-faith efforts to meet physically or via secure teleconference to resolve the matter amicably before taking any further legal action.

10.2 Binding Individual Arbitration

If the Dispute cannot be resolved through informal negotiations within forty-five (45) business days of our receipt of your Notice of Dispute, you and the Practice agree that the Dispute shall be resolved solely and exclusively through binding, individual, non-class arbitration.

• Governing Body: The arbitration shall be administered by the American Arbitration Association (“AAA”) in accordance with its Commercial Arbitration Rules and Mediation Procedures then in effect.
• Location of Arbitration: The physical arbitration proceedings shall take place in Oakland County, Michigan, unless both parties mutually agree in writing to a different location or consent to virtual, remote online proceedings.
• Arbitrator’s Authority: The arbitrator’s written decision and award shall be final, binding, and non-appealable, and judgment upon the award rendered by the arbitrator may be entered in any court having competent jurisdiction.
• Allocation of Costs: Each party shall bear its own legal fees, expenses, and costs associated with the arbitration, and the AAA administrative fees and arbitrator compensation shall be shared equally by both parties, subject to the arbitrator’s authority to award fees to the prevailing party as permitted by law.

10.3 Exclusion of Medical Malpractice Claims

PLEASE NOTE: This mandatory arbitration clause does not govern, apply to, or restrict any clinical claims of medical malpractice, professional negligence, personal injury, or wrongful death arising directly from the physical performance of the vasectomy procedure or direct medical treatment rendered by Dr. Thulasi Shanmukanathan in our physical clinic.

Clinical malpractice disputes are governed exclusively by separate clinical arbitration agreements, state medical liability laws, and the jurisdiction of the courts of the State of Michigan, as outlined in our physical clinical intake packet.

10.4 Class Action Waiver and Jury Trial Waiver

YOU AND THE PRACTICE EXPLICITLY AGREE THAT EACH PARTY MAY BRING CLAIMS AGAINST THE OTHER ONLY IN AN INDIVIDUAL CAPACITY, AND NOT AS A PLAINTIFF, REPRESENTATIVE, OR CLASS MEMBER IN ANY PURPORTED CLASS, REPRESENTATIVE, OR JOINT ACTION.

Unless both parties agree otherwise in writing, the arbitrator may not consolidate more than one person’s claims, and may not otherwise preside over any form of a representative or class proceeding.

Furthermore, you and the Practice explicitly waive any and all constitutional or statutory rights to a trial by jury in any court of law regarding any Dispute governed by this Agreement.

Governing Law, Venue, and Jurisdictional Issues

This Site, the Practice, and its clinical services are physically established and operated entirely within the State of Michigan.

These Terms of Use, your digital interactions with this Site, and any administrative Disputes arising hereunder shall be governed by, construed, and enforced in accordance with the laws of the State of Michigan, without regard to its conflict of law principles or choice of law rules.

For any Dispute that is legally excluded from binding arbitration under Section 10.3 (or in the event that the arbitration clause is found by a court of competent jurisdiction to be unenforceable), you and the Practice explicitly agree that exclusive personal jurisdiction and physical venue for all such legal proceedings shall rest solely in:

• The Oakland County Circuit Court (6th Judicial Circuit Court of Michigan) located in Pontiac, Michigan.
• The 45th District Court of Michigan located in Oak Park, Michigan (for small claims or lower-jurisdiction matters).
• The United States District Court for the Eastern District of Michigan (Southern Division) located in Detroit, Michigan (if federal diversity or subject-matter jurisdiction is established).

You hereby explicitly waive any objections to the personal jurisdiction and venue of these Michigan courts, including any claims of forum non conveniens (inconvenient forum).

Severability, Integration, and Non-Waiver

12.1 Severability of Provisions

If any provision, paragraph, sentence, or clause of these Terms of Use is determined by an arbitrator, administrative agency, or court of competent jurisdiction to be unlawful, void, invalid, or for any reason unenforceable, that specific provision shall be deemed severable from this Agreement and shall be modified or narrowed to the minimum extent necessary to make it valid and enforceable.

Such a determination shall have absolutely no effect on the validity, legality, and enforceability of all remaining provisions, which shall remain in full force and effect.

12.2 Integration and Entire Agreement

These Terms of Use, along with any booking confirmation notices, deposit agreements, and privacy policies published on this Site, constitute the entire, integrated, and exclusive agreement between you and the Practice concerning your use of this Site and its online services.

This Agreement supersedes all prior or contemporaneous communications, representations, advertisements, blog posts, or verbal statements made by our staff or representatives.

12.3 No Waiver of Rights

Our failure to enforce or strictly insist upon your compliance with any provision of these Terms of Use, or our failure to exercise any right or remedy under this Agreement, shall not be construed or interpreted as a waiver, abandonment, or relinquishment of our right to assert, enforce, or rely upon any such provision, right, or remedy in any future instance. Any waiver of our rights must be executed in writing and signed by an authorized representative of Thulasi Shanmukanathan, M.D., PLLC.

Modifications to Site, Fees, and Terms of Use

The Practice reserves the right, in its sole and absolute discretion, to make updates, changes, modifications, suspensions, or discontinuations to any aspect of this Site, its written content, its operating hours, its payment portals, and its clinical service fees (including the $600.00 all-inclusive fee and the $50.00 booking deposit) at any time, without prior notice, liability, or obligation to you.

Furthermore, we reserve the right to revise, update, and modify these Terms of Use at any time. When such revisions are made, we will update the “Last Updated” date located at the very top of this document.

All modifications become immediately effective upon being posted on this Site. Your continued access to, browsing of, or use of this Site following the posting of updated Terms of Use constitutes your legally binding acceptance of all revised terms. We encourage you to review this page periodically to ensure you remain fully aware of our current legal and clinical policies.

Contacting the Practice

If you have any questions, clarifications, legal inquiries, or compliance concerns regarding these Terms of Use, or if you need to submit formal administrative notices to the Practice, please contact us directly using the following information:

Administrative Mailing Address:
Thulasi Shanmukanathan, M.D., PLLC
26711 Woodward Avenue, Suite LLB, Huntington Woods, MI 48070

• Clinical Telephone: 313-314-6663
• Administrative Email: shanvasectomy@gmail.com

All formal legal notices under Section 10 of this Agreement must be sent via Certified Mail with Return Receipt Requested to our physical administrative address in Huntington Woods, Michigan.