Telehealth Forms

If at any time during your visit you would like to inform a staff member that you are not in a safe or private space, or if you feel like someone is forcing you to have this appointment against your will, please utilize the "Violence at Home Signal" for help, as shown in the graphic above. We will discreetly get you the assistance you need in order to ensure your safety.

Telehealth Forms

Telehealth Visit and Payment Information

Birth Control Patch

Birth Control Pill

Birth Control Ring

Birth Control Shot "Depo"

CDC STD Info Packet

Condoms

Emergency Contraception

Feminizing Hormone Therapy

HIV Testing

Intimate Partner Violence

Masculinizing Hormone Therapy

Medical Services/HIPAA/Non-Discrimination Notice

Patient Financial Responsibility

Progestin-Only Pill

Reducing Risk of STDs

Responsabilidad Financiera del Paciente

Tips Para Solucionar Problemas Técnicos en las Citas de Telesalud

Troubleshooting for iPhones

UTI Treatment

Vaginitis

Telehealth FAQs

What services can I receive via Telehealth?

Birth Control- Pills, patch, ring, depo shot, and Ella

UTI, BV, Yeast Infection, Herpes Treatment

STI testing- At an outside lab or one of our centers

How do you make an appointment for Telehealth?

Online- https://www.plannedparenthood.org/planned-parenthood-keystone/for-patients/our-health-centers

Via Phone- 800.230.PLAN (7526)

How do I connect with the provider?

Teladoc is our video chat platform. You will receive a link for your appointment that will have prompts for downloading the app and getting into the appointment.

You will connect with a Patient Navigator first and then will be connected to the provider

Will I have to expose myself on camera during my telehealth visit?

No, you will not have to expose yourself on camera. Many visits can be addressed with simple questions and answers. If your provider needs more information to provide your care, they will let you know during your telehealth visit so you can decide how you want to continue.

Is insurance accepted?

Yes, please check this page to see if we accept your insurance https://www.plannedparenthood.org/planned-parenthood-keystone/for-patients/forms-and-payment

How much is it if I don’t have insurance?

$50 flat rate fee

Minors without insurance are free

Do I need to bring anything to my appointment?

For some prescriptions, we need an up-to-date blood pressure reading before we can release medications. Please make sure to have an updated blood pressure reading prior to your appointment if possible.

What if I have trouble connecting to my appointment, what should I do?

First, check your WIFI/Data connection. If you're still having issues connecting, call 267-766-9513 and someone will help get you connected.