Pregnancy Center Materials Request

We can’t wait to join you as we reach more women who have had failed abortions. Please fill out this form and a member from our team will reach out to provide you with your free materials!

Name

First Last

Name of Pregnancy Center

Address of Pregnancy Center

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

I would like info about ASN training for my team materials for our center speaker for an event

Other

How many failed abortions have you see in the last 90 days at your clinic?

Do you ask about failed abortions on your intake form?

Do you feel like your team is equipped to help women who have had a failed abortion?

Anything else you would like to add?

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Name

This field is for validation purposes and should be left unchanged.

The Abortion Survivor Network is like an oasis. A safe place for survivors to finally share their story, be themselves, be vulnerable, to finally heal.

I felt like such a freak for so many years. I had no idea anyone else there had gone through the same thing. And then I Googled “abortion survivor” and found The Abortion Survivors Network. It changed my life to know I wasn’t alone.

Thank you for giving me a voice.

You are my family.

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