Proposed Reforms
Get Involved · For clinicians

A circumcision patient consent form template, made more accurate.

The layout and standard surgical-risk language below follow the pattern real informed-consent forms for this procedure use.

Free to use

This template is free to copy, adapt, and use in your own practice or to compare against a form you've been asked to sign. No attribution required. It is an example, not a form from any real hospital, and isn't legal or medical advice; adapt it to your own requirements before use.

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Sourcing

Medical-body positions: primary statements from each named body, tabulated on the national medical bodies overview. Sensitivity comparison: Sorrells et al., BJU International, 2007. Ridged band and its nerve endings: Taylor, Lockwood & Taylor, British Journal of Urology, 1996. Complication rate and meatal stenosis: Shabanzadeh et al., Urology, 2021 (n≈4.04M); Van Howe, Clinical Pediatrics, 2006. UTI risk reduction: Singh-Grewal et al., Archives of Disease in Childhood, 2005. HIV/STI cohorts: Frisch & Simonsen, European Journal of Epidemiology, 2021 (Denmark, n=810,719); Nayan et al., Journal of Urology, 2022 (Ontario, n=569,950). Penile cancer age: Bourlon et al., Frontiers in Oncology, 2022. Denmark adult rate and fuller citations for all of the above live on the bodily autonomy page and the data visualized.