Request for intrauterine contraception (coil) questionnaire

Use this service to request intrauterine contraception (coil) removal and/or insertion.

You can use this service if you:

  • are registered at the surgery
  • are the person needing the intrauterine contraception (coil) removal and/or insertion

Before you start

We’ll ask you for:

  • your first and last name, date of birth, sex, postcode, email and phone number

If an appointment with an interpreter is required to help with using this service, this can be arranged by phoning the surgery.

Start now

You can also phone us on 01213537558 or visit the surgery in person.