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Comparison of Early Abortion Options
Appointment Information
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(09) 638 6040
email us
reception@amac.org.nz
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1st Floor, 283-289
Dominion Road Mt Eden,
Auckland.
Home
How Do I Start?
How AMAC Can Help Me?
Resources
Comparison of Early Abortion Options
Appointment Information
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AMAC
All the help you need in one place for Early Abortion or Contraception Care
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Comparison of Early Abortion Options
Appointment Information
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SURNAME
*
FIRST NAMES
*
DATE OF BIRTH
ETHNICITY
*
PHONE NUMBER
*
EMAIL
*
ADDRESS
*
FIRST DAY OF LAST MENSTRUAL PERIOD (LMP)
*
APPOINTMENT TYPE
Please select
Contraception Only
Medical Consultation
Pre Abortion Tests
Medical Abortion
Surgical Abortion
Other
PREFERRED APPOINTMENT DAY
Please select
Monday
Tuesday
Wednesday
Thursday
Friday (limited by demand)
CONFIRMATION OF HEALTH CARE ELIGIBILITY
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Foreign Passport & Visas
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REFERRED BY
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Self
Dr
Other
REFERRER NAME
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