Submit a Walk-In Contraceptive Appointment
Last Name
First Name
Rank
Phone
Email
What service are you interested in?
Contraceptives Counseling
Oral Birth Control Pills or Refills
Birth Control Patch, Ring, or Depo-Provera Injection
IUD Insertion or Removal (NOT AVAILABLE UNTIL OCT 2023)
NEXPLANON Insertion or Removal (NOT AVAILABLE UNTIL OCT 2023)
Emergency Contraception
Sexual Health Counseling
STI Testing
HPV Vaccination
Preferred timeframe (please note this will not be guaranteed):
0700 – 0800
0800 – 0900
0900 – 1000
Non-Preferred
Additional Comments
SUBMIT
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