Circumcision Check List

  • The circumcision fee is $160.00.  A non-refundable deposit of $60.00 is due at time of booking, with the remaining $100.00 due at time of check in. We accept Cash, Debit, Visa and Mastercard.
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  • Baby has to be under 12 lbs and 2 months of age or younger to be able to fit on the procedure board. If you suspect child is too large, please arrange to bring him in beforehand (preferably the day before) to check weight.
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  • DO NOT feed the baby anything for 3 hours prior to procedure.
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  • Bring extra diaper(s), change of clothes, light baby blanket and soother if baby uses one and formula if baby is on formula.
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  • You can give baby 0.5ml of Tempra or Infant Tylenol 1 hour prior to procedure.
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  • You can also purchase Emla Cream (topical anesthetic)  at any pharmacy which is applied to the foreskin 1 hour prior to procedure. If you have questions on how to apply the Emla cream please contact the office at 905-529-5221
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  • The procedure takes approximately 20 minutes, plan to be in the office for about 1 hour.
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  • Baby will be fed immediately following procedure and follow up instructions will be given before leaving the office.

Printable version

 

** PLEASE NOTE ** If you have called and booked an appointment with one of our receptionist, you Do Not need to complete the on-line form.

Circumcision Request Form

All information must be completed below in full in order to provide an appointment

Please check all that apply: