Child Circumcision Registration Single Parent (00 – 14 years of age)Kassy2021-08-06T10:08:36+09:00
Single Parent - Patient Registration Form ( 00 to 14 years)
If there is ONE PARENT ONLY on the birth certificate you are required to complete the Single Parent Form and bring a copy of the birth certificate to the appointment for the Dr to sight. If there are DVO / AVO Orders in place on one please ensure to bring a copy of them to your appointment as the doctor must sight them before performing a Circumcision on your child. Failure to do so will result in the appointment being cancelled.