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Reproductive Health Services & Supplies

This page has resources and tools for providing medical services under the RH Program. Click the jump links below to get to specific sections of the page:

Purchasing Contraceptives

RHCare and CCare clinics are required to dispense a broad range of contraceptive methods on site at the time of the client’s visit. This resource is a list of vendors and distributors of contraceptives.

Where to Purchase Contraceptives

RH Program-Specific Resources

Charting Guidance

While the RH Program uses the CVR for billing and data submission, the CVR does not substitute for charting. Clients' records must contain information sufficient to justify the diagnosis codes and medical services recorded on the CVR. This resource provides guidance of what chart notes must contain to support how the visit was billed.

Chart Documentation Guidance

STI Services

One of the most complicated aspects of the RH Program is STI Services. To help clinic staff figure out the who, what, when, and how the RH Access Fund covers STI Services, we created the below resource. It contains a summary, quick look chart, and FAQs.

STI Coverage Summary & FAQs

Pregnancy Options Brochures

The RH Program requires that clients with positive pregnancy tests be provided neutral, factual information and nondirective counseling on prenatal care, adoption, and abortion, per the client’s desire. Clients must also be offered a written pregnancy options brochure that lists resources for all three options. To ensure this information is available to all clients, we created the below brochure in both English and Spanish. The brochures are partially editable, so you can personalize them to include resources from your community.

Pregnancy Options brochure - English | Spanish

Contracting with a Local Vasectomy Provider

Agencies that do not provide vasectomies on-site may contract with an external vasectomy provider.
For more information please see the resources below.

Contracting with an External Vasectomy Provider 

Federal Consent for Sterilization Form (pdf) - 

Screening Tools

Screening for alcohol and drug use, depression, and sexual coercion is a healthcare best practice. These are four validated screening tools that clinics may use.

Alcohol Use English Spanish
Depression English Spanish
Drug Use English Spanish
Sexual Coercion English Spanish

Sample Health History Forms

Providers should review a client's health history at the initial visit, and at least annually thereafter. Registered Nurses are permitted through the Board of Pharmacy’s CHC license to dispense birth control methods through standing orders. To ensure the necessary information is available for RNs to assess an individual’s health history, the RH program developed sample Initial Health History and Annual Health History forms.

Initial Health History English Spanish
Annual Health History English Spanish

Consent Forms

Consent for RH Services

Upon establishing care, clients/enrollee's must sign a consent form for reproductive health services. The consent may be incorporated into the clinic's general consent for services, or it may be a stand alone form. To help clinics meet this requirement, we created the following sample consent forms. 

                English Spanish
Simplified Chinese

Consent for Insertions and Removals

RHCare clinics are required to obtain consent from clients before they undergo a medical procedure (i.e. insertion / removal of an IUC or implant). To help clinics meet this requirement, we created these sample consent forms. Clinics may also use the consent form included in each devices' packaging. Either option is acceptable.

IUC Consent Form English Spanish
Implant Consent Form English Spanish

Determining Need for Services

Not sure what family planning services your client needs? This chart, based on the QFP recommendations, provides evidence-based guidance to help you determine what services are needed for people of reproductive age.

Clinical Pathway: Determining Need for Services Among Clients of Reproductive Age