Ask for an appointment

Use this form to ask for an appointment with us. We'll call you back and book your appointment while we are talking to you. Important: If you need emergency contraception, call as soon as possible to make an appointment or visit during our drop-in hours.

First name *

Middle name

Last name *

Are you (or have you been) known by any other names?

What is your date of birth? *

What phone number should we call you on? *

Please enter the number again, to make sure it is correct. *

Can we leave a message on your phone?

Yes

We will call you twice, and leave a message if you don't answer the second time.

What can we help you with at your appointment?

If you need emergency contraception, please visit during our drop-in hours or call us as soon as possible to make an appointment.

Family Planning has clinics located throughout New Zealand. Use the clinic finder to find your nearest clinic.

Find a clinic