Coming to Planned Parenthood for an appointment? Download the forms you'll need now and fill them out before your visit. Please complete all forms with blue or black ink.
Funding Application Forms
If you are applying for a state funding program, please complete the application form for the state where you live.
- Information Release Form: If you'd like to request that we send your medical records to another medical provider, or have another medical provider send us your records,please fill out this form and fax, mail, or hand-deliver it to your Planned Parenthood health center.
- RH Program Enrollment & Demographic Form
To schedule an appointment, call 503.788.7273 or 1-888-576-7526.
To view these forms, you will need Adobe Acrobat Reader installed on your computer. Download a free copy here: