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• Be ready to ask to talk to someone else if necessary. Although each provider in our directory says they prescribe emergency contraceptive pills, the staff person who answers the phone may not know much about emergency contraception) or that their office or pharmacy provides it. It might help if you explain where you got their telephone number. If not, ask if it is possible to speak to a nurse, doctor, or pharmacist. If that still doesn't work, try the directory again ­ and please let us know (by sending an email to ec3@opr.princeton.edu) so we can follow up.

• Be aware you might not get to see the provider you called about. Some health care facilities have more than one clinician who will prescribe emergency contraception. If the specific person listed in the database is unavailable, ask if someone else can prescribe emergency contraception. You may also find that some providers will only see you if you are already one of their patients. If a provider cannot help you for whatever reason, be sure to ask for a referral. You can also check with other providers listed on the directory.

• Try another option if time is running out. Some providers may not be able to fit you in within the time frame you have to use emergency contraception, especially if you are calling at night or on a weekend. Since the first dose of emergency contraceptive pills should be taken as soon as possible (and no later than 120 hours after sex), you might try your local emergency room if you think you might be running out of time.

• Be clear about what you need and feel free to ask questions. Don't be surprised if the person answering the phone does not say the words "emergency contraception" or "the morning after pill" if you do not ask for it by name. Staff may simply assume you know what you're looking for. However, you should feel free to ask them any questions you may have about emergency contraceptive pills or about what will happen when you come in for an appointment. In our experience, providers are often happy to take the time to give more information when asked.

• Be prepared to answer basic questions about your medical or sexual history. By learning certain things about you, the provider can give you the most appropriate information and services. They might ask you about:

• The date your last menstrual period started.

• When you had sex without using contraception, your birth control failed, or you were forced to have sex.

• If that was the only time since your last period that you had sex without using birth control.

• Whether you have had a pelvic exam in the past year.

• Find out if you can take care of everything over the phone. Some clinicians can phone in a prescription for emergency contraceptive pills to your local pharmacist, while others may ask you to come into the office for a physical exam (even though there’s no medical need for one).

• Check into costs. The fees for getting emergency contraceptive pills vary, so be sure to ask how much a visit will cost and whether there is a “sliding” fee scale (based on your income). When we surveyed providers listed in our directory, the average cost was $63, but the fees ranged from free to $250. Emergency contraception services tend to cost less at Planned Parenthood clinics — averaging $47, with fees ranging from free to $123. Similarly, if you live in a state that allows pharmacists to provide emergency contraceptive pills directly, you can typically get a prescription from your pharmacist for under $50. If you have insurance, you may want to check to see if it covers emergency contraception.

• See if there are any “extra” requirements for getting emergency contraception. Some providers may require you to sign a statement saying you would seek an abortion if emergency contraceptive pills do not work and you become pregnant. You should know that there is no evidence that emergency contraception can cause birth defects, and it is unlikely this kind of “advanced consent for an abortion” could be enforced. You have the right to decide not to sign it, and you may want to consider trying a different provider.

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