Buffalo Women Services - General Contact Form

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Requested Appointment Date

Date

Requested Appointment Time

MorningAfternoon

Abortion Service You're Interested In

Medication AbortionSurgical Abortion

Service You're Interested in

I understand and agree that any information submitted will be forwarded to our office by email and not via a secure messaging system. This form should not be used to transmit private health information, and we disclaim all warranties with respect to the privacy and confidentiality of any information submitted through this form.

We see abortion patients Monday-Wednesdays.

If you have already had an ultrasound or know when your last period was and you are between 5 and 12 weeks, please request an appointment for either a Monday or Tuesday. If you are unsure how many weeks pregnant you are, please book on Monday for an ultrasound and consultation to date the pregnancy. If you are more than 13 weeks, please request an appointment for Monday for a 2-day procedure.

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