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Insurance Information

What insurance do we accept?

Family PACT (can be qualified on-site)
• Some private insurance (please call ahead for eligibility verification)

Payment Information

Fees are based on a sliding scale determined by the patient’s monthly income and number of dependents. We accept cash, all major credit cards, and in-state personal checks

Medical Forms

Family PACT
To cover your services if you are without insurance.
Download Family PACT form - English | Spanish

Medical 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 release form - English | Spanish