Emergency
Contraception
Confidential and professional care when you need it most. Complete our digital consultation form below to begin the process, or download the form to bring to the pharmacy.
Your data is processed securely and reviewed only by our registered pharmacists.
You must attend the pharmacy in person
Emergency contraception cannot be supplied without a face-to-face consultation with the pharmacist. The patient must attend in person — we cannot supply it to a partner, friend or family member on their behalf. Completing the form below saves time at the counter; it does not replace the consultation.
Time Sensitive
Emergency contraception is most effective when taken as soon as possible after unprotected sex.
Clinical Safety
Our pharmacists will review your medical history to ensure the treatment is safe and appropriate for you.
Confidentiality
We provide a private and non-judgmental environment for all consultations.
Consultation Form
Please provide accurate information for pharmacist review.
Personal Information
Prefer to fill this out manually?
Download Form