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Early Pregnancy Assessment Clinic

Forms

Criteria

The clinic accepts referrals for fetal demise up to 12 weeks gestation, retained products of conception, RhIG administration for first trimester loss. Please review the exclusion criteria listed on the form and include the required test results and documentation with your referral.

Procedural Abortion Clinic

Forms

Criteria

These services are for patients whose pregnancy is less than 16 weeks. Please include the required test results and documentation listed on the form with your referral.

Contact Us

If you have questions or need assistance, please contact:

WRHN Procedural Abortion Clinic
Phone: 519-749-4254
Fax: 519-749-4298