Male Circumcision Checklist and Referral Form

Author: Debbie Stovin, Commissioning Manager- Elective Care

Date published: August 2019

Date to review: December 2020

A revised referral template/checklist has been developed as part of the SYB Commissioning for Outcomes Policy which we would recommend clinicians to use during consultations. This template has been published on SystmOne and is also available using EMIS Web.