Make an appointment

For further information please contact us at reception@thewomensclinic.net.nz, telephone us on 0800 ABORTION (0800 226 784) or complete the booking form below if you are ready to make an enquiry.

For health professionals our fax number is 04 974 4817

Clinic location *

Appointment type *

Legal name *

Date of birth *

Day

Month

Year

Ethnic group *

Address *

Phone *

Is this number safe to leave a message or to send a text? *

Is this email safe to use? *

Do you hold a community services card? *

GP/ Practice

Would you like a letter sent to your GP

Are you a... *

NZ citizen

Permanent resident

Non-resident

On a visa

Type of visa *

Please state type of visa *

Visa start date *

Day

Month

Year

Visa end date *

Day

Month

Year

Do you require a translator if English is your 2nd language? *

Would you like an appointment to speak with a counsellor? *

Have you had any Blood tests or an Ultrasound? *

Place of ultrasound or blood tests taken *

Date of your last period (if known)

Day

Month

Year

What day and time would be suitable for your appointment? *

Would you prefer to... *

speak with a nurse in the clinic, or

have a phone consultation

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Bookings or Enquiries

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Make an appointment