Reproductive Health Free Clinic Budget Template
xls

Excel budget template to help plan your Women’s Health Free Clinic.

Telehealth Care for Medication Abortion Workflow
pdf

This workflow provides guidance on how to provide medication abortion to patients remotely, either via phone or computer.

Mifepristone Medication Guide

Here you can link to the required medication guide that clinicians need to use when providing medication abortion using mifepristone.

Abortion Pill Info to Read Prior to Phone Visit
pdf doc

Instructions and information to provide medication abortion patients with prior to your phone visit.  Can be used with the Telehealth Care for Medication Abortion Protocol and the Telehealth Care for Medication Abortion Workflow.

Manual Vacuum Aspiration Pre-procedure Note
pdf doc

A template for documenting the medical evaluation prior to a manual vacuum aspiration procedure in the medical record.

Ultrasound Chart Form
pdf doc

A chart template to use to document early pregnancy ultrasounds.

Reproductive Health Procedures Equipment and Supplies Lists
pdf doc

These documents list equipment and supplies needed for common gynecological procedures including: manual vacuum aspiration, IUD insertion and removal, progestin implant insertion and removal, and endometrial biopsy.

Algorithm For Clinical Management When Ultrasound Shows No IUP
pdf

Guidelines for managing medication abortion when the ultrasound shows no intrauterine pregnancy.

Staff Attitude Survey
pdf doc

Health centers considering adding abortion to their services can use this tool to assess staff attitudes towards abortion and medication abortion.

Mifepristone Log
pdf doc

Dispensing log to use with mifepristone.