Our Services Our Locations About Us Contact Us Your choice is a private matter. Contact us Schedule An Appointment After you request an appointment online, we will contact you as soon as possible, usually by the next morning. If you have not heard from us after 24 hours, please call us. EMAIL ADDRESS Jackson Place North 966 Hungerford Drive, Suite 24 Rockville, MD 20850 PHONE 301-251-9124 HOURS Monday – Friday 9am – 5pm Three Locations To Choose From POTOMAC FAMILY PLANNING CENTER Rockville, MD (301) 251-9124 Catonsville, Maryland (410) 788-4400 Hagerstown, Maryland (301) 733-2400 To request an appointment for an abortion, please fill out the following form. After you request an appointment online, we will contact you as soon as possible, usually by the next morning. If you have not heard from us after 24 hours, please contact us. Confidentiality Notice The information asked online is no different than what you would be asked over the telephone. Your information will be transmitted by secured, encrypted e-mail. Though we make every effort to keep your information secure, it is still possible that the information you provide could be captured by individuals who are engaged in illegal internet observance. By providing and submitting your confidential information, you accept the risk of sending this information by e-mail to Potomac Family Planning (“PFP”) personnel. When submitting by e-mail, you also agree not to hold Potomac Family Planning, including its employees or agents, liable for any damages you may incur as a result of the transfer or use of this information.. Today's Date First Name Last Name Patient's Email Patient's Contact Number How do you prefer to be contacted? Phone Email What is your age? Date of last menstrual period? Have you had a C-section? yes no Which location for appointment? Which location for appointment? Rockville, MD Catonsville, MD Hagerstown, MD What service What service Surgical Abortion Medical Abortion (Abortion by Pill) Sonogram / Ultrasound Private VIP Abortion (Rockville, MD only) Urine Pregnancy Testing Blood Pregnancy Testing Annual GYN Exam / Birth Control Options or Desicion Counseling Type of anesthesia you prefer? (Twilight and general anesthesia are available only at the Rockville and Baltimore Maryland locations.) Type of anesthesia you prefer? (Twilight and general anesthesia are available only at the Rockville and Baltimore Maryland locations.) Local (Awake) General (Asleep) Twilight (Light Sedation) Abortion by Pill Not Sure Medical History / Comments How did you hear about us? How did you hear about us? Google Yahoo / Bing Abortion Clinics Online (ACOL) Directory Abortion.com Directory National Abortion Federation (NAF) Family Member / Friend Private Doctor Other Clinic Other Submit We're Open 5 Days a Week We offer appointments most days of the week for your convenience. We take appointments by phone (301-251-9124, Rockville OR (410) 788-4400, Catonsville ) or you can request one online. Monday to Friday : 9am – 5pm Saturday : 9am – 2pm (Rockville and Catonsville locations) Confidentiality Notice The information asked online is no different than what you would be asked over the telephone. Your information will be transmitted by secured, encrypted e-mail. Though we make every effort to keep your information secure, it is still possible that the information you provide could be captured by individuals who are engaged in illegal internet observance. By providing and submitting your confidential information, you accept the risk of sending this information by e-mail to Potomac Family Planning Center(“PFPC”) personnel. When submitting by e-mail, you also agree not to hold Potomac Family Planning, it's subsidiaries, including its employees or agents, liable for any damages you may incur as a result of the transfer or use of this information. F.A.Q. Frequently Asked Is having an abortion safe? Yes. Even minor complications are very rare, and our doctors are gynecologists who have decades of experience specializing in abortion care. Can I get pregnant again after having an abortion? How do I know which anesthesia to choose? Do I need a referral? Or do I need to see my doctor to confirm the pregnancy? How do I know whether to choose an in-clinic abortion or abortion by pill? Does it hurt? How private and confidential is my visit? When can I go back to work? Monday to Friday : 9am – 5pm Saturday : 9am –2pm (Rockville and Baltimore Locations) 301-251-9124 800-260-CHOICE (2464) POTOMAC FAMILY PLANNING CENTER Jackson Place North 966 Hungerford Drive Suite 24 Rockville, MD 20850 Services ABORTION SERVICES ABORTION FEES GYNECOLOGICAL SERVICES About OUR STORY FUNDING ASSISTANCE PRIVATE INSURANCE Locations ROCKVILLE, MD BALTIMORE / CATONSVILLE, MD HAGERSTOWN, MD All offices are certified by the National Abortion Federation and licensed by the Maryland Department of Health. © 2021 Copyright Potomac Family Planning Center (PFPC) English