Patient Formsadmin2026-03-31T20:25:20+00:00

Patient Forms

Following are some forms that you may need before your visit.

VISIT EXAM FORM – FEMALE/GYN
INTAKE FORM
INGESTA SOCIAL
Male/Urogenital Health Intake Form

Everyone has the right to informed consent regarding their reproductive choices and birth control methods. Famcare does not discriminate on the basis of religion, race, color, national origin, disability, age, sex, sexual orientation, gender identity, sex characteristics, numbers of pregnancies, marital status, or contraceptive choice(s). Family Planning services are confidential. Teens are welcome and can receive confidential care. Our staff is LGBTQ-friendly.

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