This online form is for your DAY 1 ABORTION CONSULTATION ONLY. If you are trying to schedule a PAP Exam or any other kind of appointment, please call our office at 419-478-6801.
IMPORTANT INFORMATION FOR YOUR FIRST APPOINTMENT:
- COST: An initial consultation is $50.00 (which will go towards the cost of your abortion). This fee is non-refundable and must be paid when you arrive for your first appointment. We accept cash, credit card, or debit card. We do not accept checks, money order, or American Express. Credit cards are ONLY accepted with cardholder present.
- IDENTIFICATION: Please bring your Driver’s License or State Picture ID with you. (Minors: You must also bring your birth certificate.)
- PARKING: There is a parking lot in the back of the building.
- GUESTS: You may bring one support person, but we do not have public restrooms for them. Please let them know that only the patient is allowed beyond the lobby. No children are allowed.
- DURATION: Expect to be with us for 2 to 3 hours during your first appointment.
- MINORS: If you are under 18, your parent or guardian does not have to stay for the entire visit. Your parent or guardian must bring their Driver’s License or State Picture ID with them.
- INTERPRETER: If you have a language barrier, you are required to bring a female interpreter with you to your first visit. Male interpreters are not allowed.
please fill out the form below and click the "Submit" button.
Note: Before clicking the "Submit" button, please write your appointment time down, as we do not send confirmation emails. We also do not confirm appointments over the phone, due to patient confidentiality.