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Formularios en Línea Para el Cliente

En cada visita que haga a Planned Parenthood tendr que rellenar algunos formularios. La información que facilita ayuda al personal médico a evaluar su historial médico y cualquier problema de salud que pueda tener. Puede bajar los formularios que necesita en PDF aquí y rellenarlos antes de su visita. As tardara menos su visita.

Por favor asegúrese de rellenar todos los formularios en tinta negra ya que no podemos aceptar formularios que han sido rellenados en otros colores o en lpiz. Por favor no ponga su firma en estos formularios hasta que vaya a su centro de salud para su cita.

Haga Que Su Visita Sea Más Rápida: Imprima y Complete Sus Formularios Antes de su Cita

Pulse el formulario que necesita en PDF:

Anticonceptivo Hormonal Sin Examen Pélvico

Historial Comprensivo

Aborto Realizado en Una Clinica

Como Usar la Pildora Abortiva

Historial para Detección de ETS

Historial de Servicios Limitados

Visita de Prueba de Embarazo

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