Circumcision Clinic Hamilton, Ontario
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Baby Circumcision Registration

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Please complete the registration form below for baby circumcision.

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

Thanks for booking with us.

  • Baby Information

  • DD dash MM dash YYYY

  • Parent Information

  • Medical History

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

  • Allergies

  • Appointment

  • Circumcision Consent

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

Call now: 289-389-3748 | CONTACT US

77 Hunter Street East
Hamilton, ON L8N 1M4

272 Oxford Street West
London, ON N6H 1S9

51 Benton Street
Kitchener, ON N2G 3H1

96 Niagara Street
St. Catharines, ON L2R 4L4

672 Brant Street, Suite 200
Burlington, ON L7R 2H3

Henry Medical Centre
195 Henry St, Unit 05 
Brantford, ON N3S 5C9

Fax: 905-393-3748

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