Gentle Procedures Clinic Online Registration Forms

In order to confirm your appointment we do request a complete medical history on the person having a procedure with Gentle Procedures Clinic Queensland, please complete all fields. All information provided is confidential and will be handled in accordance with our Privacy Policy. We appreciate your assistance and completing this as soon as possible.

By completing the electronic form and signing it electronically you are making an informed consent to the procedure being performed on the date of the appointment.

By completing and electronically signing for a child aged 00 – 14 years you are making an informed consent for the procedure to be performed on your child, and that you are the legal parent / guardian. For any person aged 15+ you must ensure you complete the form and that you have made an informed decision to have the procedure performed.

If you do not consent to any of the above or wish to discuss further with doctor do not complete the form and contact our office.

Adult Circumcision (15+ Years of age)

adult circumcision form
Register Here

Child Circumcision (00-14 Years of age)

child circumcision form
Register Here

Vasectomy

Vasectomy Registration Form
Register Here

Dorsal Slit

Adult Dorsal Slit Form
Register Here

Non Attending Parental Consent

Register Here