Make an Appointment - Northern California

OBRIA MEDICAL CLINICS APPOINTMENT REQUEST

Please fill out our simple appointment request form. Someone from our staff will confirm a specific appointment time with you based on your preferences and our appointment availability. NOTE: Your requested time may not be available.

I would like to schedule an appointment at:

Please select the service you need:(Required)

If you are seeking care for Abortion Pill Reversal and it is after-hours, please call our 24/7 support line- 877.558.0333

If selecting Pregnancy Testing, Ultrasound, Prenatal Care, or Abortion Pill Reversal, please select the date of your last period.

If you are looking for a STD test, are you having any symptoms?

Preferred Appointment Date(Required)

Please select the time that you wish to be seen at Obria. Please note, this is not a confirmation of an appointment, our office will be in contact with you soon to confirm your appointment time.

Preferred Appointment Time(Required)

Please select the date that you wish to be seen at Obria. Please note, this is not a confirmation of an appointment, our office will be in contact with you soon to confirm your appointment date.

Preferred Language

Name(Required)

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Cell Phone Number(Required)

Date of Birth(Required)

Gender

Female

Male

Do you have any specific requests?