Circumcision consent form template 2026

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  1. Click ‘Get Form’ to open the circumcision consent form template in the editor.
  2. Begin by reading the introductory section carefully. Ensure you understand the nature and purpose of the procedure, as well as the material risks involved.
  3. In the section regarding material risks, review each listed risk thoroughly. You may want to discuss any concerns with your healthcare provider before proceeding.
  4. Indicate your assessment of the likelihood of success by selecting one of the options: Good, Fair, or Poor.
  5. Consider practical alternatives to the procedure and fill in your prognosis if you choose not to proceed with circumcision.
  6. Complete any additional fields related to consent for unforeseen procedures and diagnostic studies as necessary.
  7. Finally, sign and date the form, ensuring all blanks are filled in and any statements you do not approve of are stricken before signing.

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But they dont explicitly recommend circumcision its ultimately the parents decision. If you have any questions, talk to your childs healthcare provider.
Herodotus, writing in the 5th century BCE, lists first of all the Egyptians being the oldest people practicing circumcision then Colchians, Ethiopians, Phoenicians, and Syrians as circumcising cultures.
It Is Your Decision The American Academy of Pediatrics considers circumcision a choice for parents to make. Some parents choose circumcision for religious or cultural reasons. It is important to consider the pros and cons, how the surgery is performed and the potential complications.
However, existing scientific evidence is not sufficient to recommend routine circumcision. Therefore, because the procedure is not essential to a childs current well-being, we recommend that the decision to circumcise is one best made by parents in consultation with their pediatrician.
The guidelines state that it is the responsibility of the parents to demonstrate that a non-therapeutic circumcision is in the childs best interest. To achieve this, the BMA now advises that both parents must give consent before a non-therapeutic circumcision can be performed.
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Both parents and/or carer with parental responsibility must give consent before the operation happens. Consent means you want to have your son circumcised and that the operation and potential risks have been explained to you.
The minor child should bring a birth certificate or ID book or clinic card or school letter. In the case of a legal guardian or foster parent, legal documents or affidavit and death certificates are also required. An HIV test is recommended but not forced.
It is your choice whether to have your son circumcised. It is not required by law or by hospital policy. Because circumcision is an elective procedure, it may not be covered by your health insurance policy. To find out if your policy covers the procedure, call your health insurance provider.

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