Baby Circumcision Registration

Baby Circumcision Registration 2020-06-02T09:41:14-04:00

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.

  • Child Information

  • Date Format: MM slash DD 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.
  • Referral Contacts - Optional

  • Circumcision Consent

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

Our clinics are now open for procedures.

Our external facility for adult circumcision remains closed.

Please call us now at 416-551-7070 to book.

The clinics will operate with modified procedures to support social distancing and infection control.

Please read our COVID-19 Information Page

Take care.