Please complete this form before your procedure. Thanks.
The patient manual has detail on preparing for the procedure as well as aftercare instructions.
If the child having the circumcision procedure has an absent parent, please complete this form and provide it before the procedure. Thank you.
If you are the single guardian of the child seeking a circumcision, please complete this form and provide it before the procedure. Thank you.
Please complete to accept electronic communication with us.
North York and Mississauga Circumcision & Vasectomy Clinic