Family Planning Consent Form
Preparing for insertion of an intrauterine device (copper coil) or an intrauterine system (mirena/Jaydess/kyleena).
- If you are eligible for the coil, we would like to make the process as straightforward as possible on the day of your appointment.
- If you have any questions, please book a telephone appointment.
Once you have completed the consent form below, it will be attached your medical record and you will be added to a waiting list.
- Reception will contact you when an appointment becomes available.
- If you have not heard from the surgery in 3 months, please contact us.
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