Make an Appointment

APPOINTMENT REQUEST

We value your privacy – your information is Confidential.

Pregnancy Assessment services are FREE including:

FREE medical grade urine pregnancy verification testing verified by a nurse
FREE pregnancy confirmation Ultrasound exam
FREE pregnancy options education
FREE abortion counseling

All other services are Low Cost to No Cost. Cost is based upon patient insurance / income. However, no patient is ever turned away due to inability to pay!

NOTE — your appointment is a request and is not automatically added to our appointment book. We will confirm by phone a specific appointment time with you based on your preferences and our appointment availability.

Required field *

CONTACT INFO

> Pasadena

Phone: (626) 440-9400

445 N. Lake Avenue, Pasadena, CA 91101

> Whittier

Phone: (562) 902-2273

16147 E. Whittier Blvd., Whittier, CA 90603

> Compton

Phone: (310) 928-7748

2817 North Wilmington Avenue, Compton, CA 90222

Name*
First Last
Phone Number*
Date of Birth
MM slash DD slash YYYY
Select Services you want:*
- Pregnancy Options
- Abortion Education / Info
- Pregnancy Test
- Ultrasound
- STD Test
- Other (describe in Requests field)
Preferred Location*
Preferred Appointment date*
Do you have any specific Requests?
Date of last menstrual period (for Pregnancy services)
MM slash DD slash YYYY
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Please select the service that you need:*
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If you are looking for a STD test, are you having any symptoms?
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Preferred Language*
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Email Address*
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Gender*
- Female
- Male
Comments
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