Book an appointment

Fill out the form below to book an appointment at one of our centres.


Home      Book an appointment

    Name *

    Phone number *

    Email address

    Clinic name/Location *

    Use the dropdown menu to select your preferred Marie Stopes location

    Choose a service

    Let us know what type of service you would like to book an appointment for

    Preferred date of appointment

    Select a preferred date for your appointment

    Preferred time of appointment

    Enter a preferred time of day for your appointment

    Comments or questions

    Let us know if you have any comments or queries

    Confirm we can contact you *

    Is it unsafe to call you?

    If you do not want us to call you, please tick here and we’ll use another method of contact (SMS, WhatsApp)