Expression of Interest for Contraceptive Implant Service

If you would like to be contacted about the contraceptive implant service, please complete the form below.

A member of our nursing team will contact you in the near future to discuss the contraceptive implant service and assess whether it may be a suitable option for you.

Please note:

• Completing this form does not guarantee an appointment.
• Submitting an expression of interest does not mean the contraceptive implant will be suitable for you.
• Suitability will be assessed by an appropriately trained clinician.