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Postnatal community LARC service

Use this form if you need to submit a referral request for the Postnatal Community LARC Service.

Before you start

We’ll ask you for:

  • your first and last name, date of birth, sex, postcode, email and phone number
  • if applicable, the details of the person you are completing the form on behalf of
Start now

You can also phone us on 0121 773 3737 or visit the surgery in person.

Page published: 18 March 2024
Last updated: 1 April 2025