Download Forms & Patient Manuals

Circumcision Documents

Circumcision After-Care Instructions

The patient manual has detail on preparing for the procedure as well as aftercare instructions.

Absent Parent Consent

If the child having the circumcision procedure has an absent parent, please complete this form and provide it before the procedure. Thank you.

Single Guardian Declaration

If you are the single guardian of the child seeking a circumcision, please complete this form and provide it before the procedure. Thank you.

Vasectomy Documents

Vasectomy Patient Manual

The patient manual has detail on preparing for your procedure as well as aftercare instructions.

Vasectomy Referral Form

If you are being referred to our clinic by another doctor, please ask the physician to complete this form and provide it to our clinic.  Your family doctor may submit their referral via Ocean MD.

Vasectomy Registration

Please use the online vasectomy registration form instead of the download below, if possible, for fastest processing.

Online Vasectomy Registration

Mississauga Circumcision & Vasectomy Clinic

Call Us

Book Online

Quick Contact

Global Contact Form

  • This field is for validation purposes and should be left unchanged.