Circumcision Brisbane

Consultation Registration

Initial consultation is available at all clinic locations

Consultation Patient Registration

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

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Gentle Procedures clinic Vasectomy

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Gentle Procedures clinic Circumcision

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Consultation Registration for all ages

Please complete all fields in order to be able to submit. All revision bookings have been scheduled for both the consultation and the revision surgery. At the consultation the doctor will provide you the cost as this can only be done once the consultation has been carried out.

  • Patient Information

  • Please select the procedure you wish to discuss in your consultation appointment.
  • Please use your mouse or finger to digitally sign and consent to all items in this questionnaire. Please ensure to sign within the box provided.
  • The date you have digitally signed this document.
  • This field is for validation purposes and should be left unchanged.
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