Request for Contraceptive implant, Mirena (Intrauterine System), Copper Coil (Intrauterine Device) or Sexually Transmitted Infection (STI screening) only

We offer contraceptive implant, Mirena (intrauterine system) and copper coil (intrauterine device) services at the practice. Information on these and other contraceptive methods can be found below.

Implant | Contraception Choices

Hormonal Coil / IUS | Contraception Choices

Copper Coil / IUD | Contraception Choices

STI screening is available for patients over the age of 18 with NO SYMPTOMS of infection. For information on STI symptoms please click here: Sexually transmitted infections (STIs) - NHS (www.nhs.uk)

To request one of these services, please kindly complete this form and a member of our Reception Team will be in contact within 2 working days to help with your request.

Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.