Gentle Procedures Toronto
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Baby Circumcision Registration

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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.

  • Child Information

  • Date Format: DD slash MM slash YYYY

  • Parent Information

  • Medical History

  • If the mother is taking any form of blood thinner (Dalteparin, ASA) you will need to call the office to speak with our doctor prior to your appointment.

  • Referral Contacts - Optional

  • Circumcision Consent

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

Gentle Procedures Toronto

89 Queensway West, Suite 604
Mississauga, Ontario, L5B 2V2

4800 Leslie Street, Suite 204
Toronto (North York), Ontario, M2J 2K9

Call us : 416-551-7070 | CONTACT US

Fax : 416-551-7171

Gentle Procedures

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