Contraception

We provide all the usual forms of reversible contraception: Confidential advice, Pills, IUDs, IUSs, Implants, Depot injections as well as emergency contraception. Sadly we cannot provide a regular supply of condoms.

Please fill in our self referral form for Long active reversible contraception below and our Reception team will be in contact

Contraceptive Coil Fitting Service - Self Referral Form

Self referral form for Limes and other Practice patients to refer into LARC service

About You

Your Name Required

First Last

Date of birth Required

Your Address Required

Street Address Address Line 2 City Postcode

NHS Number (if known) Optional

TELEPHONE NUMBER Required

Reason for referral Optional

What type of LARC would you prefer? Optional

If you are NOT registered with The Limes Medical Centre, which Practice in Leicestershire are your registered with? Required

What is your current contraceptive method? Optional

Do you consent to sharing your electronic health records? Optional

Additional Information

Antenatal Care

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Contraception

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Contraception

Contraceptive Coil Fitting Service - Self Referral Form

About You

Additional Information