Planned Parenthood

Hawaii

Clinical Forms to Download

If it is your first time coming to one of our clinics OR you have personal information to update (address, phone number, income, etc.), please fill out the following forms:

Patient Registration Form: PDF

Financial Information Form: PDF

If this visit will be the first time you are getting an exam with us, fill out the following form:

Initial History Form: PDF

If you are a transgender patient and this is your first visit, fill out the following form:

Initial Transgender History Form: PDF

If you are age 40 or older and this is your first visit, fill out the following form:

Initial Midlife History Form: PDF

Don't want or need an exam, but still need birth control? You may qualify for HOPE (Hormones with an Optional Pelvic Exam). Fill out the following form to have a brief consultation with us to see what method would be best for you!

HOPE Form: PDF

Patient Videos

The Abortion Pill (Medication Abortion)

In-Clinic Abortion Procedure

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Clinical Forms to Download