Forms
Consent for Family Planning Services
For Active-Duty Military members, spouses of military service members and recent Veterans
Contraceptive Implant – Post Insertion and Removal Instructions
Paragard IUD – Counseling Handout
Levonorgestrel IUD – Consent Form
Levonorgestrel IUD – Counseling Handout
Use this form to request priority of case status.
2022 IQR Protocol Section 1: Information Gathering
2022 IQR Protocol Section 2: Nurse Therapy/BSC Interviews
2022 IQR Protocol Section 2A: Day Nurse Interviews
2022 IQR Protocol Section 3: Case Management
2022 IQR Protocol Section 4: Employment/Day
2022 IQR Protocol Section 4A: Additional Day