Appointment Request

Fill out the form and we will message you to set up an in-clinic appointment. For Colorado residents interested in mailed medical abortion pills, click here.

Filling out this form does not mean that you have an appointment scheduled. A member of our Care Clinic Colorado staff will contact you to complete the scheduling process.

Please fill in the information below, and our staff will contact you within 2 business days to schedule your appointment, review financial assistance options, and answer any questions you may have. For a faster response, please call us at (719) 884-4070 or text us at (719) 888-7118. Our phones are open 24 hours a day, Monday through Saturday.

Care Clinic Colorado provides in-clinic visits for abortion pills and abortion procedures up to 26 weeks and 6 days of pregnancy.

Please submit only one request form per patient. Submitting more than one form may result in delays in processing your request.