Gentle Procedures Clinic Online Registration
We request the relevant registration form be completed a minimum of 48 hours before an appointment in order to allow the doctor to review the medical records.
GentiCare Payment Plan Application Form
For all enquiries relating to a Circumcision please complete all fields below.
Gentle Procedures Clinic Queensland Registration Templates
Child Registration Templates (00 to 15 Years of Age)
- It is important to know details about a patient’s medical history as this forms part of vital medical records.
- We kindly ask you complete the form 48 hours before your appointment as this allows adequate time for the doctor to review these records prior to the appointment.
- All fields are mandatory, if you do not have the information please enter n/a for not applicable or for a field with numbers enter 0
- Click on the relevant link below & allow 10 minutes to complete the form. You will need your Medicare card details.
- 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.
CHILD CIRCUMCISION REGISTRATION
NON-ATTENDING PARENT REGISTRATION
Adult Registration Templates (15 + Years of Age)
- It is important to know details about your medical history as it forms part of vital medical records.
- Please complete the relevant registration below a minimum of 48 hours before your appointment.
- This allows adequate time for the doctor to review these records prior to your appointment.
- If you are under the care of a specialist please arrange a referral letter.
- If you are taking blood thinners please see your GP and advise you are required to cease them for the procedure, please ask your treating doctor to arrange a referral letter.
- All fields are mandatory, if you do not have the information on hand please enter n/a for not applicable.