Emergency Contraception Care Kit Request

Use this form to request an Emergency Contraception (EC) Care Kit. The kits currently contain one emergency contraception pill, a few condoms, informational materials about EC, as well as information about other reproductive health resources in the Big Bend area.

Care kits are available for pick up or delivery. Please specify which you prefer and we’ll reach out to you for more details after you submit this form.

People of any age and gender are invited to submit one request every three months. There is no fee. Currently, we are only serving the following counties in West Texas: Brewster, Jeff Davis, and Presidio.

We’ll do our best to get EC to you within 24 hours of your request. If you need EC immediately, the fastest way to get it will be going to your local pharmacy and purchasing it. Everyone can purchase EC regardless of age, gender, or whether they have an ID. All of the pharmacies in the Big Bend area carry EC and it is often as cheap as $12.

The only information we collect about you is the information you give us in this form. If you have any issues with this form, you can reach our volunteer team at bigbendrc@proton.me.