Really, We Make Getting Your IUD A Breeze, Trust Us!
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- Fill Out My-IUD.com’s Convenient Registration Form Now
- Read My-IUD.com’s Telemed Consent Form
- Read the IUD Pre-Insertion Assessment Form
- Click the Submit Button and your information will be sent to our representatives.
- We Contact You Quick! (usually within an hour) To schedule your video Telemed Consultation.
I understand and agree that any information submitted will be forwarded to our office by email and not via a secure messaging system. This form should not be used to transmit private health information, and we disclaim all warranties with respect to the privacy and confidentiality of any information submitted through this form.