Baby Circumcision Registration

Baby Circumcision Registration2020-06-04T14:22:29-04:00

Please complete the registration form below for baby circumcision.

We will call you back to confirm your appointment and answer your questions.

Thanks for booking with us.

  • Baby Information

  • Date Format: DD slash MM slash YYYY
  • Parent Information

  • Medical History

  • Type n/a if none
  • Type n/a if none. Please note that if the mother is taking any form of blood thinner (Dalteparin, ASA) you will need to call the office to speak with one of our doctors prior to your appointment.
  • Allergies

  • Referral Contacts - Optional

  • Circumcision Consent

    You must consent to the following:
  • This field is for validation purposes and should be left unchanged.

Gentle Procedures Canberra clinic is open.

We are operating with modified procedures to support social distancing and infection control.

Please contact us now to book.

Please read our COVID-19 Information Page.

Take care and stay safe.