Circumcision Brisbane

Adult Circumcision Registration

This appointment is for someone who had a procedure elsewhere and are dissatisfied with the outcome.

Adult Circumcision Registration

For all enquiries relating to a Circumcision please complete all fields below.

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Adult Circumcision Registration – 15+ Years Of Age

Please complete all fields in order to be able to submit it. If you are attending for a consultation only regarding a Circumcision we still request this form is completed. For teenagers the form must be completed by the patient and not the parent.

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