If you have been asked by the surgery to do so, please submit this form.

Before submitting the form, please watch the Precoil Fitting Video: Having an IUD/IUS contraception fitted.

We will try to insert an IUD / IUS for you at all our general clinics therefore it is important that you have read all the information and are suitable for the procedure on the day you come. You can also discuss other methods with us as well and ask any questions.

Please use a reliable method of contraception up until the coil is fitted or no sex from the start of the period before the IUD appointment. If requiring IUD/S replacement, no sex 7 days prior to the appointment.

If you have any issues with the form or do not meet the criteria, please contact the practice for more information.