Planned Parenthood

Keystone

Patient Forms, Insurance & What to expect when you visit our medical centers

frntpg-clinician.jpgWe have been serving women, men and young people for over 88 years in Pennsylvania. You can trust us to provide high quality essential health care. We accept most insurance plans. If you do not have insurance, you may qualify for SelectPlan, offered by the PA Department of Welfare, to help PA women, between the ages of 19 - 44, afford their reproductive health care. Complete this form (English)(Spanish) and bring it with you along with proof of income to your first visit. 

Payment is expected at the time of each visit. We accept cash, checks, Visa, MasterCard, and Discover cards. Please bring a photo ID card and, if you have them, your insurance cards with you to each visit. For more information on payment, please read our Visit & Payment Info Form (English) (Spanish).


With each visit, you will be asked to fill out some forms. The information on these forms helps us to evaluate your medical history and any health concerns. You can download PDF forms here and fill them out in advance of your visit. This will make your visit go faster. 


If you are currently or have previously been a patient at any PPKey medical center and would like a copy of your records for yourself or your current health care provider, you can complete this Medical Records release form and bring it to your medical center. 

 

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Patient Forms & What you need to know