Boy and Teen Circumcision Registration

Please complete the registration form below for circumcision for boys aged 2 to 17 years.

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

Thanks for booking with us.

77 Hunter Street East
Hamilton, ON L8N 1M4

272 Oxford Street West
London, ON N6H 1S9

51 Benton Street
Kitchener, ON N2G 3H1

Walmart Clinic
7481 Oakwood Drive
Niagara Falls, ON L2E 6S5

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

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

Fax: 905-502-1426

Child Information