Steps to set up a Vasectomy office 

Register as a Corporation;You should register as a corporation as soon as you can, since so many of the following steps (lease, bank account, tax ID, etc. will require a corporation name).In Florida, this means registering as a “Professional Association.” This name is just a quirk of Florida law. A Professional Association in Florida is a type of corporation for a medical office. You register online at the “Florida Division of Corporations” and it costs around $80. Your own state will have a different system, likely even a different name for a medical office corporation.  Google around and ask other physicians in your state. .   File Articles of incorporation    This is a formality to let the State know you control a corporation.      In Florida, this is done at  https://efile.sunbiz.org/profit_file.html      Each state will have a slightly different system and requirements to register. 

Get Tax ID numberThis is a Federal number in the US that links your business to taxes. https://sa.www4.irs.gov/modiein/individual/confirm-entity.jsp

Obtain Office Space  Use various search engines, explore various neighborhoods, contact realtors.   Don’t rent more space than you can pay for.   Review the lease carefully.  Get official address.    Until you have a lease, you can use a post-office box service      I used a local shipping store (like a local UPS office) for my temporary box
Get Business Bank Account    There are brick and mortar banks and there are online banks     Read about advantages of each. I choose one of each.      My brick and mortar bank is great for cash deposits, my online bank is great for easy accounting.     Get a phone number    There are so many services you can use for your phone number.     Google Voice is fine, you are assigned a business number and you can answer your business line on your own phone.     So many others are available. 
Get employees    Be careful to not hire more than you want to pay.    In the beginning, you might just want no employees.     You can answer your own phone. You can wash your own instruments.      I find is easier to be alone in the beginning when patient volume is low. 

Get furniture    Some offices you rent will already have furniture (rare).    Goodwill and Salvation Army are great for many furniture items.    Booth Med had good deal on exam table   National Business furniture has nice solid waiting room chairs   There are many sources of furniture. 

Instruments   Vasectomy Store is great   Usman Umar is great    many others too
Autoclave   I bought from Booth Medical   Sometimes you can find used models on Ebay or CraigsList   I looked for used models and didn’t find one, you might get lucky. 
Supplies      Make a checklist     I ordered from MedVet international at first     Register with McKesson     Register with Henry Schein     Registering with the big two US supply companies takes far longer than you would think     Once you are accepted as a client by McKesson or Henry Schein, the prices go way down. 
Malpractice Insurance   So many options. Check with brokers in your state. 

Property insurance     My landlord required it. I choose State Farm
Labs    Have a system for post-vasectomy semen checks   I chose PVSA.org, Alex Hauser at PVSA.org was great   Many other semen check companies available   You can also use your own microscope, but you need a system. 
Website   So many options   I watched a YouTube video on how to set up a WordPress website (you can see my site at www.greatvas.com)    Setting up your own website makes it easier to edit and control   Many companies are glad to do this for you, but you loose control
Marketing    Register with Business.Google.Com    Cards and postcards from local printer or from VistaPrint    Maybe DiscountMugs.com    Drop off cards and mugs at local gyn docs and family docs
License   Your own medical license   Your own DEA registration    Florida requires an HCCE (Health Care Clinical Establishment) license too for the office

Furniture checklist   Waiting room chairs   Exam table  Mayo Stand   Ceiling lights   Doctor desk   Doctor chair   Assistant desk   Assistant chair   Break room table and chairs
Computer needs    Laptop    Ipad    Printer    Scanner (though the modern iPhone works great as a scanner too)    Modem
Internet Service    So many options available    I was surprised at how bad customer service is from local internet companies    The process helped me understand the jokes about cable guys
Accounting Software    I choose Quickbooks, quickbooks is a royal pain to learn, but is industry standard in the US    Many videos can help you learn Quickbooks    Many other accounting packages also available

Register as S Corp  with federal government     This is in addition to registering as a corporation with your state    Mailed IRS form 2553     Check with accountant if you need to do this
Electronic Medical Records    I choose IntakeQ, simple and works great for me    Many others are available

Credit Card Processing    One friend uses Instamed, she likes it    I chose the built-in card processor in IntakeQ

Register with the office of Data protection commission