Schedule Your First Appointment

Things to know about your first appointment with us:

• Under Ohio law, our clinic is not allowed to perform an abortion if WE KNOW that any part of your reason is based on the fact that the fetus has Down syndrome or the possibility that the fetus may have Down syndrome. If we learn that any part of your reason has to do with Down syndrome, then our clinic cannot provide your abortion. (This applies only to Down syndrome and not any other condition.)
• Coronavirus Pandemic: No one can accompany you into the clinic, at this time, in accordance with the Ohio State Department of Health and CDC distancing mandates.

 YOU CAN NOT SCHEDULE PROCEDURES on this page.

• A photo ID (must have your picture, name, and date of birth listed)
• A $150 non-refundable fee will go towards your procedure balance.
•  We accept Money orders, Debit cards, MasterCard, Visa, and Discover. We accept HSA cards as long as they are underwritten by MasterCard or Visa.
• If you are a minor, you MUST bring an ID with you.  Parents/guardians of minors must have a photo ID (for themselves) and a birth certificate for the patient.
• If you are a minor and believe the previous requirement is impossible, please call us for information regarding a “Judicial Bypass”.
• If you have questions about this policy, please call us

On-Line Web appointment times and dates:

If you're a minor (under the age of 18), a parent or guardian must sign a written consent at your first appointment. If this is impossible, we will talk to you about a "court bypass" for this part of Ohio law

Patient's First Name as it appears on your photo ID *

Patient's Last Name as it appears on your photo ID *

Phone Number *

Email *

Have you taken a pregnancy test? *

Yes

No

Can we identify ourselves as Northeast Ohio Women's Center if we need to call or text? *

Yes

No

Age *

Are you a returning patient? *

Yes

No

Last NORMAL menstrual period (YOU MUST BE AT LEAST 5 WEEKS BEFOR SCHEDULING YOUR FIRST APPOINTMENT.) *

Substantial funding is now available from the NAF (National Abortion Federation). Are you interested in seeking partial funding?

Yes

No

Would you like to know more about 2nd-day visit via zoom.

Yes

No

YOU CAN ONLY SELECT ONE LOCATION *

Cuyahoga Falls - Monday 4/22 CLINIC HOURS Are: 9:00am - 12:00pm, An EMAIL Will Be Sent To You.

Shaker Heights - Wednesday 4/24 CLINIC HOURS Are: 4:30pm - 6:30pm, An EMAIL Will Be Sent To You.

Additional Notes:

By submitting this online form, you consent to receiving electronic communication from us (via email). 

PLEASE MAKE SURE TO PROVIDE A  SAFE AND SECURE EMAIL ADDRESS THAT YOU FEEL COMFORTABLE RECEIVING UPCOMING APPOINTMENT INFORMATION.

If you are human, leave this field blank.