Adult Circumcision Registration

Gentle Procedures Clinic does not offer circumcision for medical reasons. We provide circumcision solely for cosmetic, religious, personal hygiene, cultural reasons, and personal preferences. Those potentially seeking circumcision due to medical concerns should contact their family doctor.

Please complete the registration form below for adult circumcision.

We will reply to confirm your appointment (if not already scheduled) and answer your questions.

Thanks for booking with us.

  • Patient Information

  • DD slash MM slash YYYY
  • Allergies

  • Medical History

  • (name/dosage)
  • Appointment

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