JB Helpline Form

First name:*

Last name:*

Have you confirmed your pregnancy with a pregnancy test?*

Before making any decisions about the care you need or the legal questions you may have, it is important to confirm that you are actually pregnant.

You can do that at home with a urine test bought from a local drug store or by getting a pregnancy test from a medical provider. You can find a medical provider by visiting https://ineedana.com/ to find a clinic near you. You can also find a map of abortion clinics in by clicking on your state on the JB Wiki Map.

What is your question?*

e.g. Do you need an abortion and cannot or do not want to tell your parents? Do you need to be connected to a lawyer in your state?

Your age:*

When it comes to abortion, some laws affect legal minors specifically, and the age at which you are considered to be a minor can vary by state and by law. This means the answer to your question may depend on your age. We respond to people of all ages, and ask for your age to be able to give you the most accurate information.

Your city:*

e.g. Dallas

Your state:*

e.g. Texas (We are based in the U.S. and can only answer questions related to U.S. laws.)

Phone number:*

Email address:*

How should we contact you?*

Is it safe to leave you a voicemail at this number? *

Yes No

Do you prefer us to call you from a blocked phone number?*

Yes No

REMINDER: If we call you from a blocked number, the call may be labeled automatically as spam or go straight to your voicemail. Many people forget to answer blocked calls after they make this request.

How should we contact you? (ARCHIVED FIELD)

Phone Call Email

What day should we call you? (ARCHIVED FIELD)

Monday Tuesday Wednesday Thursday Friday Any day