Emergency Contraception

If you have had unprotected sex within the last 3-5 days, we offer the emergency contraceptive pill to help prevent pregnancy when other forms of contraception have failed.

Please fill out the form below so that our clinicians can determine if the treatment will be suitable for you to take.




To help us understand that this treatment is the right option for you, please answer the following questions. If you get stuck or need any help, you can contact us.

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Male
Female
Transmale (Born a female)
Transfemale (Born a male)

Presently Pregnant
Presently Breastfeeding
Planning on getting pregnant
Neither Pregnant nor Breastfeeding





























Please answer the following questions to help us confirm that you'll follow the guidelines for this medicine.

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