Before the Exam

You will be asked to fill out the medical history and social summary forms. This must be done before the exam. We recommend printing out the forms and completing them before you arrive. This will reduce your time spent in the clinic.

Form Name	English	Spanish
Medical History	Download	Download
Social Summary	Download	Download

During the Exam

A complete exam includes:

• Assessment of your heart and lungs
• Height and weight check
• Blood pressure check
• Urine test
• Blood test
• Pap smear (21 years of age and older)
• Breast exam
• Counseling to determine what type of birth control is right for you
• Reproductive health counseling
• Birth control method/device
• Referrals as needed

After the Exam

To receive your blood test and pap smear results by phone, make arrangements with your nurse before you leave.

Payment of Services

The cost of exams, including treatment, birth control or medications, are based on a sliding scale. The scale is based on your annual income and the number of people in your household. Bring proof of income to your visit.

We accept Medicaid, cash, Visa, and MasterCard. Credit cards must have the exact name as the identification presented. For example, a credit card with the name Jim Smith will not be accepted if the driver’s license reads James Smith.

Important Information

• Do not have sex or douche for 24 hours before your exam.
  
  
• Children are not allowed in the exam room and cannot be left alone in the waiting area. If you must bring children to your appointment, also bring a responsible adult to watch them while you're in the exam room.