First name:
We don’t need your first name but it can help if you’d like us to contact you (for further details about how we process your data, you can read our privacy notice).
I’d like to share my story about: *
Did you have your abortion with us? *
Details of your story: *
Please don’t mention any personal data e.g. names, address or date of birth
Are you happy for us to share your story: *
Please tick the box(s) to let us know where you are happy for us to share your story.
Are you happy for us to contact you about your story? *
Are you interested in sharing your story with a journalist? *
If you are interested, with your permission our team may contact you to discuss this further. If you do speak with our team, you can let them know if you would like to share your name with the journalist, or if you would prefer not to.
* Mandatory fields
If you change your mind, you can email us at any point at [email protected] and we will delete your story from our external media. Your submitted information will be retained and may be used for up to five years from the date of submission, after which it will be securely deleted. If you have indicated that you are interested in sharing your story with a journalist, and we decide to share your story, we will contact you beforehand. If you have indicated you are open to be contacted, you may be contacted by our clinical teams to be offered further support.
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