Do Not fill out the forms below
unless you have a CHART # … And were ASKED to do so by our staff.
Do you have a chart number ? — Were you asked to fill out these forms ?
If the answer is “no” then please DO NOT fill out any forms.
If you want to book an appointment with us, then you need to read about appointments :
Fill out the IUD or the ABORTION forms, ONLY IF you were asked to do so by one of our staff:
For your Information: