Forms
Consent for Family Planning Services
Family Planning - Form
December 16, 2024
Consent for Family Planning Services
IUD - Aftercare Instructions - Spanish
Family Planning - Form
December 9, 2024
IUD - Aftercare Instructions - Spanish
Sterilization – Protocol and Review Form
Family Planning - Form
October 3, 2023
Sterilization – Protocol and Review Form
Pharmacist Telehealth Consent Form
Family Planning - Form
March 21, 2023
Pharmacist Telehealth Consent Form
Pharmacist Telehealth Consent Form
Pharmacist Telehealth Consent Form - Spanish
ECP – Progestin-Only Products Counseling Handout
Family Planning - Form
October 13, 2022
ECP - Progestin-Only Products Counseling Handout
ECP – Ulipristal Acetate Counseling Handout
Family Planning - Form
October 13, 2022
ECP – Ulipristal Acetate Counseling Handout
Sterilization – Instructions for Request and Consent Forms
Family Planning - Form
October 13, 2022
Sterilization – Instructions for Request and Consent Forms
Language Identification Flashcard
Family Planning - Form
October 13, 2022
Language Identification Flashcard
Contraceptive Spermicide (Film and Gel) – Counseling Handout
Family Planning - Form
October 12, 2022
Contraceptive Spermicide (Film and Gel) – Counseling Handout
Contraceptive Spermicide (Film and Gel) – Instructions
Family Planning - Form
October 12, 2022
Contraceptive Spermicide (Film and Gel) – Instructions