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Insurance, Payment Options & Forms

At PPOSBC, we have many different options when it comes to paying for care. Here, you can find information on types of insurance we accept, payment options, and our sliding scale.

The bottom line: No one will be turned away from receiving care. 

Insurance Information

At PPOSBC, we accept:

  • Family PACT (can be qualified on-site)
  • Medi-Cal
  • Medi-Cal Managed Care (HMO) plans for all family planning services
  • Many private and commercial insurance plans

For help signing up for Medi-Cal or to see if your insurance provider is accepted, call (714) 922-2477.

To make an appointment, call (714) 922-4100.

Remember, ev​en if you don't have insurance, or if your insurance provider isn't accepted, you will not be turned away from receiving family planning care. 
 

None

Medical Forms

Family PACT
This program helps cover your reproductive care services if you don't have insurance.

Download Family PACT form:
English | Spanish 

Medical Records Release Form
To request your medical records be sent to Planned Parenthood or mailed to you by Planned Parenthood please fill out a HIPAA release form.

Download medical records release form: 
English | Spanish | Vietnamese

Donate to Planned Parenthood.

Make your tax-deductible gift today so we can continue to protect and provide care, no matter what.

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