Request an Appointment | Alternatives Medical Clinic (AMC)

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First name*

Last name*

Email

Consent to email

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Phone Number*

Date of Birth

Can we call as an unblocked number?

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Consent to text message

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Service*

Pregnancy Options
Abortion Education
Pregnancy Test
Ultrasound
STD Test
Sexual Health Education
Other

Consent if we can identify ourselves as Alternatives Medical Clinic*

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NOTE -- your appointment is a request and is not automatically added to our appointment book. We will confirm by phone a specific appointment time with you based on your preferences and our appointment availability.

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Appointments

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