Referral Forms

Diagnostic Colposcopy Service

Family Planning NSW offers a diagnostic colposcopy service to facilitate women's access to timely assessment of abnormal cervical screening results.

Asymptomatic women with cervical screening results recommending assessment by colposcopy can be referred to Family Planning NSW colposcopy clinic in Ashfield.

Download Diagnostic Colposcopy Referral Form

Symptomatic women (postcoital bleeding, intermenstrual bleeding, post-menopausal bleeding) or women diagnosed with adenocarcinoma in situ or possible squamous cervical cancer should be referred directly to a gynaecologist or oncology clinic for further investigation. It is best to refer all pregnant women with high grade lesions directly to a gynaecologist for assessment.

Vasectomy Service

Family Planning NSW offers vasectomy services using the no-scalpel technique under local anaesthesia. This service provides access to a safe effective method of permanent contraception and an additional contraceptive option.

The process involves 2 appointments:

  1. Assessment – during this visit the vasectomy procedure is explained, consent discussed and clinical examination performed to ensure that the patient is able to have the procedure safely performed under local anaesthesia.
  2. Procedure – during this visit consent is obtained and the consent form signed, the vasectomy procedure is performed and follow-up instructions are given for semen analysis in 12 weeks.

Vasectomy Service Referral Form

Patients can book for assessment without a referral by telephoning our Ashfield Clinic on 02 8752 4316 and asking for a vasectomy assessment appointment.

If patients have any questions prior to their assessment visit, they can discuss them with our Talkline staff by phoning 1300 658 886.

Abortion Service

Family Planning NSW provides abortion services as part of our comprehensive reproductive and sexual health service delivery.

If a woman decides to have an abortion they are not alone. It is estimated that one in four Australian women will have an abortion in their lifetime.

There are two types of abortion:

  • surgical abortion (which involves an operation, usually under a light sedation)
  • medical abortion (which involves taking medications that cause a miscarriage)

There are many reasons why a woman might choose to have a surgical abortion or a medical abortion. That decision can depend on the duration of the pregnancy, feelings about having a surgical procedure and feelings about having a medical abortion at home.

Abortion Referral Form

In NSW a women does not need a referral from a doctor to visit a clinic, which means individuals can call a Family Planning NSW clinic directly for an appointment. Family Planning NSW will arrange an assessment visit prior to an abortion provision appointment.

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