IUD/Implant Booking Form

We apologize for the inconvenience, but we are currently not accepting any new online form submissions. Please call our office for an appointment. Thank you for your understanding.


















If this IUD is for Emergency Contraception, don’t wait for us to call you because we need to make sure we can complete your appointment within 7 days of unprotected sex. CALL US NOW at : 604-709-5611.
For all other IUD/Implant appointments, once we have received this form we will call you
as soon as possible ( Mon – Fri ) to schedule the appointment.
Due to our large number of requests, it may be quicker
for you to call us directly. Thank you.