Save time during your first visit! Print, fill out, and bring the forms listed below with you to your 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.
To avoid filling out the papers again in our clinics, please use black ink when filling out the forms.
You will not be able to email the forms to PPWNY. Each of the forms requires an original signature.
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Planned Parenthood® of Western New York terms of use | privacy policy | HIPAA
Planned Parenthood® Federation of America Inc.
