Medication Abortion Chart Review Form
pdf doc

A chart review checklist to use to monitor medication abortion care.

Vasectomy Equipment and Supplies
pdf doc

List of supplies needed for a vasectomy procedure.

Implant Insertion and Removal Equipment and Supplies List
pdf doc

This resource lists equipment and supplies needed for progestin implant insertion and removal.

Coding for Miscarriage Care (Early Pregnancy Loss)
pdf doc

CPT, ICD-10, out-patient procedure, medication procedure, and other codes to use for documenting and billing treament and management of early pregnancy loss.

Delineation of Abortion Privileges
pdf doc

Template for documenting health center privileges to provide abortion care.

Electronic Health Record Template: Manual Vacuum Aspiration for Miscarriage
pdf doc

This is an electronic health record template (from the EPIC system) for manual vacuum aspiration (MVA) for miscarriage.

Manual Vacuum Aspiration Abortion Chart Review Form
pdf doc

A chart review checklist to use to monitor manual vacuum aspiration for abortion care.

Vasectomy Pre-Procedure Note
pdf doc

A template for documenting the medical evaluation prior to a vasectomy procedure.

Start-up Kit for Integrating Manual Vacuum Aspiration (MVA) for Early Pregnancy Loss into Women’s Reproductive Health Care Services

This IPAS website contains a PDF tool kit “provides up-to-date guidance, tips, checklists, resources and sample medical protocols for incorporating MVA into women’s reproductive health-care services.”

Guidelines for General Ledger Record Keeping for FQHCs Providing Abortion Services
doc pdf

These guidelines are intended to be in compliance with the requirements of 45 CFR Part 75 and address the development of costs centers for activities outside of the Health Center’s Section 330 grant, in the  “Other Lines of Business” or “OLB”, category as described in the Budget PIN (PIN 2013-01).