This page has resources and tools to help clinic staff with the client enrollment process. Click the jump links below to get to specific sections of the page:
RH Access Fund Enrollment Form
To enroll in the RH Access Fund, clients must complete the RH Access Fund Enrollment Form. Use the links below to print the form in any of the available languages, or to have the client complete the form electronically.
For instructions on how the Enrollment Form should be completed see our Enrollment Form Guide.
For guidance on how to enroll a client who is not in the clinic see our
Remote Enrollment Guidance.
To order more printed Enrollment Forms, please complete this
Order Form.
Trainings
Client Enrollment Process
Learn about how to enroll clients into the RH Access Fund! This training includes the Enrollment Form and the Eligibility Database.
RHCare Clinics: Video | Slides (with clickable links)
CCare Clinics: Video | Slides (with clickable links)
AbortionCare Clinics: Video |
Slides (with clickable links)
*As of March 2023, the Eligibility Database was updated to include an open text field for Notes at the bottom of the Enrollment Information tab. The new field replaced three other Notes fields that are described in the training, and should be used the same way - to explain why information entered in the Database does not match the Enrollment Form. The video and training slides will be updated to reflect this change soon.