Quick estimate 123 Section title text… What is your date of birth?Select day01020304050607080910111213141516171819202122232425262728293031We need to know your age because there may be rules about what kinds of services we can provide you.Months (DOB)Select monthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYear (DOB)Select year20122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960Postcode and suburbPlease select your suburb and postcodeAARONS PASS NSW 2850ABBA RIVER WA 6280ABBEY WA 6280ABBEYARD VIC 3737ABBEYWOOD QLD 4613ABBOTSBURY NSW 2176ABBOTSFORD NSW 2046ABBOTSFORD ACT 2601ABBOTSFORD NT 0820ABBOTSFORD QLD 4670ABBOTSFORD SA 5006ABBOTSFORD TAS 7030ABBOTSFORD VIC 3067ABBOTSFORD WA 6006Please choose the postcode and suburb where you live or where you plan to be for your appointment if you want to visit us in another state or territory.What service are you looking for? Abortion Contraception Counselling Dilation & Curettage Vasectomy Tubal Ligation For more information about our services, please click here. [New window: link to main services page]What type of counselling would you like to receive? Pregnancy options Contraception options Post-abortion Other Click here to learn more about our counselling services. [link to counselling page]Type of Counselling - OtherYou have selected Other. Please tell us more. Click here to learn more about our counselling services. [link to counselling page]Have you had a medical abortion (virtual or face-to-face) with us in the last 6 weeks? Yes No Our medical abortion clients receive a discount on contraception services if you book within 6 weeks of that appointment. Section title text…Do you have children? Yes No This can include children that are not your own, where you are not the biological parent. For example, you may foster or have adopted children.Would you like to book a free counselling session? Yes No For more information about our decision based counselling services, click here. [Link to counselling services page] How many weeks pregnant are you?If you are not sure how to calculate this, click here to use our gestation calculator.WeeksSelect number of weeks012345678910111213141516171819202122232425If you are not sure how to calculate this, click here to use our gestation calculator. [link to gestation calculator]DaysSelect number of days0123456If you are not sure how to calculate this, click here to use our gestation calculator. [link to gestation calculator]What was the date of the first day of your last normal menstrual period?Select day01020304050607080910111213141516171819202122232425262728293031The first day of your last menstrual period is the first day you had bleeding for your last menstrual period before falling pregnant. The first day of your last normal menstrual period is the first day of the last normal period where you had bleeding before falling pregnant.Months (LMP)Select monthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberThe first day of your last menstrual period is the first day you had bleeding for your last menstrual period before falling pregnant. The first day of your last normal menstrual period is the first day of the last normal period where you had bleeding before falling pregnant.Year (LMP)Select year20222021The first day of your last menstrual period is the first day you had bleeding for your last menstrual period before falling pregnant. The first day of your last normal menstrual period is the first day of the last normal period where you had bleeding before falling pregnant. You are eligible for the following abortion options.Please select the types of abortion you prefer from the options.Click here for our abortion method comparison tool. Surgical abortion without sedation (local anaesthetic only) Click here for more information about surgical abortion with local anaesthetic. [link to STOP LA page] Surgical abortion with sedation Click here for more information about surgical abortion with sedation. [Link to STOP IV page] Medical abortion: Face-to-face Click here for more information about face-to-face medical abortion. [Link to medical abortion page] Medical abortion: Virtual Click here for more information about virtual medical abortion. [Link to teleabortion page] Would you like long-acting contraception fitted at the same time as this service? Yes No Click here for more information on long-acting reversible contraception (LARC). [Link to LARC page]Select your preferred method Intrauterine device or system (IUD/IUS) Contraceptive implant Contraceptive injection We have a range of factsheets on each type of contraception. Click here to explore our library [link to content library > factsheets]Select your preferred intrauterine device or system (IUD/IUS) Copper IUD - up to 10 years Mirena - up to 5 years Kyleena - up to 5 years Click here to learn about the differences between these devices [link to IUD/IUD comparison page] Section title text…Are you a member of a private or public health fund and have an active health insurance policy? Yes No Please select ‘yes’ if you are a member of the defence force or a veteran. Click here for more information on how health insurance works. [link to PHI webpage]Select insurance providerPlease select…Not listed belowACA Health Benefits FundADF - Bupa Health Services Pty LtdArmidale Neighbourhood CentreAustralian Health ManagementAustralian Health Service AllianceAustralian Regional Health GroupAustralian Unity Health LimitedBlacktown Womens HealthBrisbane Women's Correctional CentreBudget Direct Health InsuranceBundaberg Child Safety Service CentreBUPA AustraliaCairns Sexual Health Services (90505)CBHS Health Fund LimitedCentral Queensland HHS (90366)Central West HHS (90359)Cessnock District HealthChildren By ChoiceCorrectional Facility - KEMHCUA Health LimitedDarling Downs HHS (90373)Defence HealthDepartment of Family and Community ServiceDepartment of Veterans AffairsDerbarl YerriganDVAFrank Health InsuranceGarrison Health ServicesGMF FundGMHBAGold Coast Hospital (90360)Gold Coast Youth ServiceGU HealthHBFHCFHCF - NewcastleHealth Care Insurance LimitedHealth Insurance Fund of Australia LtdHealth Partnershealth.com.auHunter Health InsuranceIHMSJustice Health & Forensic Mental HealthLatrobe Health ServicesLismore Women Heath ServiceLogan / Metro South HHSMackay Base Hospital (00172)Mackay HHS (90361)Medibank Health SolutionsMedibank PrivateMedicareMetro South HHS (90369)Mildura District Hospital Fund LtdMission AustraliamyOwnN.I.B Health Fund - NewcastleNavy HealthNIB Health FundNorth West HHS (90362)Nurses and Midwives AssociationonemedifundPenrith Women's Health ClinicPeoplecare Health InsurancePhoenix Health Fund LtdPolice Health LimitedQantas AssureQueensland Country Health Fund LtdRACT Health InsuranceRedland HospitalReserve Bank Health Society LimitedRoyal Darwin HospitalRoyal Women's Hospitalrt health fundSafe Futures FoundationSalvosnilsSerasSouth West HHS (90370)St Luke's Health InsuranceTeachers Health FundTeachers Union HealthThe Doctors' Health Fund LimitedThe Link Youth Health ServiceThe Royal Women's HospitalThe Womens CentreTop End Health ServicesTorres & Cape Hospital & Health ServiceTownsville HHS (90364)Transport HealthUniHealth InsuranceUnitingWA Health-KEMHWA Health-Swan DistrictsWest Moreton HHS (90375)Westfund LtdWide Bay HHS (90368)Womens Activites and Self Help HouseWomen's Health Goulburn North EastWomen's Health NSWYouth LinkNone of the aboveIf you insurance provider is not listed in the previous question, please mark the checkbox: My insurance provider is not listed in the question above What is the name of your insurance provider? Member number Do you have a Medicare Card? Yes No Medicare is the publicly funded health insurance program in Australia. Having a Medicare card will reduce the amount you pay for health services. If you don’t have a Medicare card, you may be able to get one. Please click here to check if you are eligible and to apply. [external link to: https://www.servicesaustralia.gov.au/individuals/subjects/how-enrol-and-get-started-medicare/enrolling-medicare#whocan]Do you have a Health Care Card? Yes No Health Care Cards are issued by the Australian Government. They show you can pay less for some health services and prescription medicines. Click here to check if you can get one and to apply. [external link to https://www.servicesaustralia.gov.au/individuals/services/centrelink/health-care-card] Wireframe feedback – this page only Do you like the proposed content for this page?(Optional) Yes No Not sure / don't know. tooltipDo you like where this page is located in the web site's structure?(Optional) Yes No Not sure / don't know. Please select an option and then use the Tell us more… box below (optional)Tell us more…(Optional)Use this field to tell us more
