Circumcision Brisbane

GENTLE PROCEDURES PATIENT REGistration

The online patient registration is required as these form part of vital medical records that is reviewed by the doctor before the appointment takes place.

GentiCare Payment Plan Application Form

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

It is important to know details about a patient’s medical history as this forms part of vital medical records.

We kindly ask you to complete the form 48 hours before your appointment as this allows adequate time for the doctor to review these records prior to the appointment.

Please note all fields are mandatory, if you do not have the information, please enter n/a not applicable or for a field with numbers enter 0.

Click the relevant link below & allow 10 minutes to complete the form, you will need your Medicare card details along with the patient’s weight.


CHILD

If your child is under the care of a specialist, midwife or hospital please arrange a referral letter outlining the medical history and documentation demonstrating it is safe for your son to have the Circumcision. 

All Parents are required to digitally sign the form. If one parent cannot attend that parent needs to complete the non-attending consent form. You will need your son’s Medicare details, medical history, medications, and allergies.


ADULT

If the patient is under the care of a specialist or taking blood thinning medication please contact our office for instructions.


Child ONLINE FORMS

(0 - 15 Years of Age)​

Adult ONLINE FORMS

(15+ Years of Age)

CHILD CIRCUMCISION REGISTRATION
Teen circumcision techniques are The Pollock and The Staple
NON-ATTENDING PARENTAL CONSENT
ADULT CIRCUMCISION REGISTRATION
Gentle Procedures Clinic are proud to provide all age circumcision, vasectomy and penile frenulectomy procedures at multiple locations
VASECTOMY REGISTRATION
CONSULTATION REGISTRATION
PENILE FRENULECTOMY REGISTRATION
DORSAL SLIT REGISTRATION
Gentle Procedures perform Vasectomy, frenulectomy and circumcision for all age
CONSULTATION REGISTRATION
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