We are keen to make your clinic visit as straightforward and streamlined as possible.
We will try to insert an IUD / IUS for you at your appointment therefore it is important
that you have read all the information and are suitable for the procedure on the day you come.
Please complete and submit this form online prior to attending your IUD/IUS fitting appointment.
If you have any questions or wish to discuss a different method telephone Abacus Triage on 0151247655 to arrange another telephone consultation.
Please use a reliable method of contraception up until the device is fitted or NO SEX from the start of the period before the appointment.
If requiring IUD/S replacement, NO SEX 7 days prior to appointment.
Please tick the boxes to confirm that you have understood and agreed to the following: