LARCs Request Form

Use this form if you have been directed here by Alchester Medical Group, to request a LARCs fitting or replacement (or removal if you are a patient at Alchester Medical Group).

Page {{ paginatorProps.current }} of {{ paginatorProps.total }} ({{ paginatorProps.percentage }}% completed)
Personal Details
Please double check you've entered the correct email address
You may have been referred to Alchester Medical Group by your GP, we will need to know this information in order to process your request
Processing
LARCs Contraception Request

What are Coils?

The coil, also known as an intrauterine contraceptive device (IUCD), sits inside the womb (uterus).

Find out more about IUCDs

An intrauterine system (or IUS) is another type of IUCD device. It also sits inside the womb (uterus).

Find out more about IUSs

 

What are Implants?

A contraceptive implant is a small device that is inserted under the skin in your upper arm.

Read more about the contraceptive implant

Please select one of the following options:

Please tell us what your request is regarding: *

Removal of a coil or implant is for Alchester Medical Group patients only.

If you are not registered with our Practice, and require a removal of your coil or implant, you must go back to your own Practice, or contact Oxfordshire Sexual Health where you can get an appointment for a removal with them.

If you continue to submit this form you confirm that you are a patient at Alchester Medical Group. 

Your request will be rejected if you are not registered with our Practice.

Please tell us the device: *
Processing

Privacy Consent

Processing

There appears to be a problem loading the form, please refresh the page.
If the error persists please contact us.

Care Quality Commission
Rating: Good

Alchester Medical Group
Langford Medical Practice
9 Nightingale Place
Bicester
Oxfordshire
OX26 6XX

Telephone: 01869 248585

Victoria House Surgery
119 Buckingham Road
Bicester
Oxfordshire
OX26 3EU

Telephone: 01869 248585

Minerva Clinial Services (Pharmacy)
Unit 3, The Station House
Heyford Park
Oxfordshire
OX25 5BZ

Telephone: 01869 228822

Facebook Instagram