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Family Planning and Reproductive Health

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Share the Wealth

Is there something you have found to be handy or unique that helps you do your work?  Could it be adapted by another agency?  Can it be downloaded?  If so, send it in and we'll put it up.  If you have any questions about this, please contact Joyce McCollough, (360) 236-3442.

 

Forms

General Consent for Family Planning Services  (Word, 35KB) [Courtesy of Family Planning of Chelan-Douglas Counties]

Self Administered Female History  (Word, 141KB) [Courtesy of Family Planning of Clallam County]

Consent for Vaginal Barrier Birth Control Methods  (Word, 34KB) [DOH]

Consent for Emergency Contraception Pills  (Word, 34KB) [DOH]

Family Planning Exam Form  (PDF, 53.55KB) [Courtesy of Jefferson County Public Health]

Consent for Progestin Hormonal Birth Control  (Word, 33.5KB) [DOH]

Women's Health Exam Form  (PDF, 117.87KB) [Courtesy of Cowlitz Family Health Center]

 

 

Instructions / Guides

Providing Health Care to Minors  (PDF, 90KB) [Courtesy of Public Health Seattle King County]

 

 


       Telephone     

     Helpful Toll Free Numbers  

         

     

    WA State Family Planning Hotline    1-800-770-4334
     WithinReach                                       
    1-800-322-2588
     Consumer Assistance Line                
    1-800-525-0127 (statewide only)
     WA State HIV/AIDS Hotline            
    1-800-272-AIDS (2437)

 


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Family Planning and Reproductive Health
Washington State Department of Health
111 Israel Rd SE, P.O. Box 478830
Olympia, Washington, 98504-7883

(360) 236-3471 Main Line

Last Update : 05/21/2009 06:16 PM
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