Planned Parenthood

Southwest and Central Florida

Medical Forms

Medical Forms

Save time on your visit!

Print and fill out the appropriate form(s) below for your appointment. Please DO NOT SIGN ANY FORM until you are in the health center and our staff can witness your signature.


Initial Female Visit - English - Spanish

Initial Male Visit - English - Spanish

If you plan to use abortion services at a Planned Parenthood healthcare clinic, please refer to the abortion paperwork necessary to move forward. If you are a minor, a copy of your birth certificate must be submitted with your parental notification forms.

Paperwork for an Abortion Appointment - Checklist - Medical History

Abortion Access for Minors - Parental Notification Forms


Transferring or Obtaining Your Medical Records

Planned Parenthood of Southwest and Central Florida requires you to sign a release if you plan to transfer or obtain your medical records. Please allow up to 10 business days to process each paperwork request and keep in mind that fees may apply. To find out more about abortion paperwork, or if you have any additional questions, please contact your local health center.

To have a copy of your medical records sent to:

  • another healthcare provider, click here;
  • directly to Planned Parenthood, click here.


Your health and safety are our priority. If you plan to visit a Planned Parenthood health center, click here to find out some information and tips about protesters.

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Medical Forms