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Planned Parenthood

Gulf Coast

Forms and Legal Information

Save time! Print and complete the following forms for your health center visit. Please use black ink.

If you are visiting a Texas health center, please use the forms below:

Teens Access to Health Services: Some minors (under the age of 18) will be required to obtain consent from a parent or guardian before receiving certain medical services. Click here for more information.

Parental consent for medical services (En español).

Read the Health Information Privacy Practices. Lea el documento en español: Aviso sobre prácticas de privacidad relacionadas con información de salud.

Click here to see the Texas Notice of Required Reporting.

 

If you are visiting a Louisiana health center, please use the forms below:

Our health services are confidential. For more information you may read the Health Information Privacy PracticesLea el documento en español: Aviso sobre prácticas de privacidad relacionadas con información de salud.

Click here to see the Louisiana Notice of Required Reporting.

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Forms and Legal Information