Please click below to complete online registration for your procedure. We will call you back within 24 hours to schedule your appointment.

Registering online will save you some paperwork in the clinic later, and will take a few minutes longer now.

If you have any immediate questions, please contact us now via the Quick Contact form at right, or call us at 204-697-9013.


Registration Forms

Please use the forms below to register online when you are ready to do so.

Baby Circumcision Registration (baby boys up to 6 months)

Child & Teen Circumcision Registration (boys 7 months to 17 years old)

Adult Circumcision Registration 

Vasectomy Registration


  • This field is for validation purposes and should be left unchanged.