Family Planning Program

DMPA – Perpetual Calendar Family Planning - Form September 25, 2021

DMPA – Perpetual Calendar

DMPA – Sub-Q Disposal of Needles and Unused Medication Handout Family Planning - Form September 25, 2021

DMPA – Sub-Q Disposal of Needles and Unused Medication Handout

DMPA – Sub-Q Self-Injection Handout Family Planning - Form September 25, 2021

DMPA – Sub-Q Self-Injection Handout

Preconception Health and Instructions for an Optimal Pregnancy Family Planning - Form September 25, 2021

Preconception Health and Instructions for an Optimal Pregnancy

Pregnancy Choices Family Planning - Form September 25, 2021

Pregnancy Choices

Educational Resources Order Form Family Planning - Form September 25, 2021

Educational Resources Order Form

Educational Materials Sample 2022 Family Planning - Form September 25, 2021

Educational Materials Sample 2022

Pregnancy Occurrences Report Family Planning - Form September 25, 2021

Pregnancy Occurrences Report

Acknowledgement of Abnormal Medical Condition Family Planning - Form September 25, 2021

Acknowledgement of Abnormal Medical Condition

Consent for Family Planning Services Family Planning - Form September 25, 2021

Consent for Family Planning Services

Hardship Declaration Form Family Planning - Form September 25, 2021

Hardship Declaration Form

Fax Cover Sheet Family Planning - Form September 25, 2021

Fax Cover Sheet

Contraceptive Implant – Post Insertion and Removal Instructions Family Planning - Form September 24, 2021

Contraceptive Implant – Post Insertion and Removal Instructions

Paragard IUD – Counseling Handout Family Planning - Form September 24, 2021

Paragard IUD – Counseling Handout

Levonorgestrel IUD – Consent Form Family Planning - Form September 24, 2021

Levonorgestrel IUD – Consent Form

Levonorgestrel IUD – Counseling Handout Family Planning - Form September 24, 2021

Levonorgestrel IUD – Counseling Handout

Appendix H- Part 1- U.S. Selected Practice Recommendations for Contraceptive Use, 2024 Family Planning - Policies, Protocols & Procedures September 23, 2021

U.S. Selected Practice Recommendations, 2024

Appendix H- Part 2- U.S. Selected Practice Recommendations, 2021 Update Self-Administration Family Planning - Policies, Protocols & Procedures September 23, 2021

U.S. Selected Practice Recommendations, 2021 Update Self-Administration

Appendix G - Part 2 – MMWR U.S. Medical Eligibility Criteria for Contraceptive Use, 2024 Family Planning - Policies, Protocols & Procedures September 10, 2021

This is part of the family planning protocol document series.

Colfax County Resource List Family Planning - Marketing October 30, 2020

This is a list of providers that serve pregnant women in your county; you can reach out to these providers to learn about the services they provide.