Make an IUD insertion appointment

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COVID19 Update: We are now (June 2020) back open again, seeing patients for routine insertions. For the time being, this will be with reduced capacity to allow everyone to stay safe and avoid unnecessary waiting in our clinic space or insertion rooms. There is a backlog of patients who had to be cancelled due to COVID19, so insertion requests put in now may have a longer than usual wait. Thank you all for your patience and we hope this finds you healthy and well!  Please see Its a Plan for information regarding all forms of contraception, including IUDs.

If you have any questions or are not comfortable seeing us in office, please email iud@nullmedicalartscentre.com and our staff will contact you and be able to offer you a telehealth visit with a physician to discuss your questions/concerns in place of an in-office visit.

I wish to make an appointment for an IUD insertion at the Medical Arts Centre.

By using this form, you will be sending information about yourself across the Internet. While every effort is made to keep this information secure, you should be aware that we cannot offer any guarantees of absolute privacy. If this matter concerns you then you should use another method to make your IUD appointment.

If you wish to contact the IUD clinic for any reason other than IUD insertion, please email us at iud@nullmedicalartscentre.com with your enquiry, name, date of birth, care card number and a contact number to get back to you on and an MOA will contact you.

Name:

Type of IUD I wish to have inserted:

*Insertion of a 10 year copper IUD is usually reserved for women who have previously been pregnant

Did a health care provider recommend you to this clinic?

Care Card Number:

Date of Birth:

Home/Main Phone Number:

Address:

City:

Email Address:
Consent to contact by email for appts: Yes

Cell Phone:
Consent to contact by text message for appts: Yes

Additional notes/questions for the inserting doctor:

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