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Click on the below links for each form, print them out, and bring them with you to your visit. Please make sure to use a black or blue ink pen to fill out the forms.
Adobe Acrobat Reader is required to view the forms.
First-Time Patients
If you're a first-time patient, please complete and sign one set of the following forms for the services you're seeking:
Female General Services (annual exam, birth control, STI testing, etc.)
Male General Services (STI testing, Hepatitis B vaccine, etc.)
Medication Abortion
Surgical Abortion
