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Patient Resources

Planned Parenthood serves women, men and teens; regardless of age or income. You will receive high quality, reproductive healthcare that is confidential, caring and non-judgmental.

During extreme weather, please visit our Face book page & Twitter for the most up-to-date closings, delays or change in schedules. Planned Parenthood Keystone operates our Patient Care Center to assist you with scheduling your appointment and providing information about out services and fees. Our Patient Care Center is open Monday through Saturday. We are closed on major holidays, however we are open on the Friday after Thanksgiving. 
Call
 
800-230-PLAN (7526) to schedule an appointment at the nearest medical center or Click here for a medical center online.

How Much Will It Cost? Our mission is to provide reproductive healthcare to anyone who needs it, regardless of ability to pay.  There is a cost for all our services, however you may be eligible for a discount. We charge on a sliding fee scale based on household income and number of people in the household.

SelectPlan for Women is a state-funded program that provides free family planning services.  Please fill out this application and bring it with you on your first visit to the medical center.  
Other documents needed to apply for free services are:
Proof of Residency - a driver’s license or utility bill in your name
Proof of Income - paystubs for the last 30 days of current income or an income tax return
Proof of U.S. Citizenship - a passport, birth certificate or satisfactory immigration documents

Your First Visit - 
Your first visit can be scary - and confusing.  Write down the questions you want to ask us before you come.  

Things to bring with you: 
Photo ID is required for all payments made by credit/debit card or check.  ID is not required if you pay in cash.  If you do not have a driver's license, you can provide a passport, or school ID (with photo).  If you do not have identification, we can still see you if you pay in cash and do not apply for reduced fee services.
Insurance Card - Most insurances are accepted.  Bring your card with you to every visit. 
Payment is expected at the time of your visit.  You may qualify for services at a reduced rate. Complete the Financial Assessment Form below and bring to your appointment or call for more information.

Several forms need to be completed at the time of your first visit. Plan ahead and save time!
MEDICAL RELEASE FORM - only needed if you are transferring records 
CONTACT INFORMATION - will establish you as a patient for recordkeeping and billing
FEMALE MEDICAL HISTORY FORM
- needed for all female patients so we are informed about your health
MALE MEDICAL HISTORY FORM - needed for all male patients so we are informed about your health
FINANCIAL ASSESSMENT FORM - used to determine how much our services will cost you

Get Birth Control by Mail -
If you are already a patient, contraceptive supplies (pills and patches) can be ordered, paid for and delivered by mail! You may only need to see a clinician once per year and then use PILL-BY-MAIL.Print, then mail or fax this form - PILL-BY-MAIL FORM

Walk-In or Call for an Appointment - No appointment is necessary for EMERGENCY CONTRACEPTION, PREGNANCY TESTS or REFILL of BIRTH CONTROL SUPPLIES.  Our medical center hours change often. Please call 800.230.PLAN for hours and to schedule an appointment. 


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1-800-230-PLAN