Save time during your first visit! Print, fill out, and bring the forms listed below with you to your reproductive health appointment. You will need Adobe Reader to view and/or print these files. If you don't have Adobe Acrobat Reader, you can get it here.
Initial Female Patient History
To avoid filling out the papers again in our clinics, please use black ink when filling out the forms.
If you are interested in applying for the Family Planning Benefit Program, bring the items found in the and the completed application with you to your appointment.
You will not be able to email the forms to Planned Parenthood. Each of the forms requires an original signature.
Planned Parenthood is committed to providing all the information you need to make the right decision for you. Below are two links to information about what to expect if you choose to have an abortion.
The Abortion Pill (Medication Abortion)
