To make an appointment for an abortion, please fill out the following form.

You will receive a phone call from a staff member when your request has been received. We WILL call you at the telephone number you provide – make sure you provide a number where you can receive calls. You may receive this call after business hours and if we don’t reach you we will leave a message. You will choose a date and time for your appointment when you are speaking with the staff member. Additional information will be provided at that time regarding office policies and procedures.

Confidentiality Notice

Your information will be transmitted by secured, encrypted e-mail. Though we make every effort to keep your information secure, it is still possible that the information you provide could be captured by individuals who are engaged in illegal internet observance. By providing and submitting your confidential information, you accept the risk of sending this information by e-mail to North Florida Women’s Services personnel and agree not to hold the center or its employees liable for any damages you may incur as a result of the transfer or use of this information.

Request An Appointment

  • Create your own 4 digit pin that will be used for all phone conversations to ensure patient confidentiality.