Medical Forms

To save time during your visit to Planned Parenthood, print the appropriate form(s) below, fill them out, and bring them to your appointment.


Registration and Medical History

Registration Form
Medical History Form

Medical History Form (Spanish)

Authorization Forms

Release of Health Information to PPSP
Release of Health Information from PPSP

To view and print PPSP's forms you need Adobe Acrobat Reader installed on your computer. To download a free copy of Adobe Acrobat Reader, visit Adobe’s web site.


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