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Clinical Forms to Download

Now you can save time by downloading, printing, and filling out exam forms before you come to the clinic! The below forms are available in Microsoft Word or PDF format for your convenience.

If it is your first time coming to one of our clinics OR you have personal information to update (address, phone number, income, etc.), fill out the following forms:

Patient Registration Form:  Word  or  PDF

Financial Information Form:  Word  or  PDF

If this visit will be the first time you are getting an exam with us, fill out the following form:

Initial History Form:  Word  or  PDF

If you are a transgender patient and this is your first visit, fill out the following form:

Initial Transgender History Form:  Word  or  PDF

If you are age 40 or older and this is your first visit, fill out the following form:

Initial Midlife History Form:  Word  or  PDF

Don't want or need an exam, but still need birth control? You may qualify for HOPE (Hormones with an Optional Pelvic Exam). Fill out the followng form to do a brief consultation with us to see what method would be best for you!

HOPE Form:  Word  or  PDF

Patient Videos

The Abortion Pill (Medication Abortion)

In-Clinic Abortion Procedure


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