Long Acting Contraceptive service (LARC) self-referral form

Please note that this service is only available to patients registered at Liverpool GP Practices.

This is an initial enquiry form only.  You are not commiting yourself to any particular treatment or service at this stage, and a call from one of our clinicians will be required to establish whether LARCs are suitable for you.
For more information about the LARC service, return to the LARC information page.