Women's Medical Center
of Rhode Island
“Putting you first with care you can trust.”

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Request an Appointment

Please provide the following information and we will call you tomorrow to finalize your appointment. Any requests sent on the weekend will be answered on Monday.

Name:
Daytime Phone Number:
Email Address:
When did your last normal period start? Date:
If you are under 9 weeks pregnant you can choose either medication abortion or surgical abortion. Which would you prefer?	Medication Abortion Surgical Abortion
What day of the week is best for your appointment?
Please include any special information you want to share with us: