Forms
Fill out your forms before your visit to save time.
Send Medical Records to Planned Parenthood
If you need your medical records sent from another medical provider to Planned Parenthood, complete this form and email to [email protected].
Send Records to Planned Parenthood
Send Medical Records from Planned Parenthood to Another Provider
If you need Planned Parenthood to send your medical records to another medical provider, complete this form and email to [email protected].
Send records to another provider
Send Medical Records to Reproductive Health Services
If you need your medical records sent from another medical provider to Reproductive Health Services, complete this form and email to [email protected].
Send Records to RHS
Ask Planned Parenthood to Send You Records
If you would like to request your medical records from Planned Parenthood for yourself, fill out this form and email to [email protected].
Request Records from Planned Parenthood