Clinician Referral Form
Submit a patient referral quickly and securely using our clinician referral form
Complete the FormContraceptive Choice and Use
CDC Medical Eligibility Criteria
View The Summary Chart
CDC Selected Practice Recommendations
The U.S. Selected Practice Recommendations (US SPR)
Partners in Contraceptive Choice & Knowledge (PICCK) has many provider resources, including a Toolkit for providing contraception during the COVID-19 pandemic.
“Quick Start” Algorithm to guide providers in how/when to start birth control methods.
Patient Education Materials
Review and download our PATH4YOU birth control option chart
One pagers for most method types that are patient friendly and easy to read!
Patient Education Materials Toolkit from PICCK.
Pre-Conception Counseling/Health Care
Recommendations on Prepregnancy Counseling from ACOG
Recommendations to Improve Pre-Conception Health & Health Care and Providing Quality Family Planning Services (QFP) from the Centers for Disease Control
Pregnancy preferences and intention screenings
Provide a quick screening question with One Key Question®
Patient-Centered Reproductive Goals Counseling with the PATH Questions
Incorporating maternal risk assessment into well-child visit to improve health outcomes with the The IMPLICIT Interconception Toolkit
Trauma-Informed Care
Contraceptive Pearl for Trauma-Informed Pelvic Exams
Recommendations to minimize physical and psychological discomfort with pelvic examination
Long Acting Reversible Contraception (LARC) Resources
Sister Song and National Women's Health Network LARC Statement of Principles
LARC Toolkit: LARC Guidance and Resource Guide from Indiana Department Of Health
LARC: Specific Issues for Adolescents from American Academy of Pediatrics (AAP)
Adolescents
Contraception for Adolescents, Policy Statement from the American Academy of Pediatrics (AAP):
AMAZE.org – they take the awkward out of sex-ed.
TeenSource – teen-friendly sexual and reproductive health information and resources.
Vasectomy Information
Locations and prices in Marion County for vasectomy care
DMPA-SC Self-Injection
Contraception Manufacturer Websites
Pregnancy Options
Counseling Resources
Consent & Confidentiality Laws
Contraceptive Choice and Use
CDC Medical Eligibility Criteria
View The Summary Chart
CDC Selected Practice Recommendations
The U.S. Selected Practice Recommendations (US SPR)
Partners in Contraceptive Choice & Knowledge (PICCK) has many provider resources, including a Toolkit for providing contraception during the COVID-19 pandemic.
“Quick Start” Algorithm to guide providers in how/when to start birth control methods.
Patient Education Materials
Review and download our PATH4YOU birth control option chart
One pagers for most method types that are patient friendly and easy to read!
Pre-Conception Counseling/Health Care
Recommendations on Prepregnancy Counseling from ACOG
Recommendations to Improve Pre-Conception Health & Health Care and Providing Quality Family Planning Services (QFP) from the Centers for Disease Control
Pregnancy preferences and intention screenings
Provide a quick screening question with One Key Question®
Patient-Centered Reproductive Goals Counseling with the PATH Questions
Incorporating maternal risk assessment into well-child visit to improve health outcomes with the The IMPLICIT Interconception Toolkit
Trauma-Informed Care
Contraceptive Pearl for Trauma-Informed Pelvic Exams
Recommendations to minimize physical and psychological discomfort with pelvic examination
Long Acting Reversible Contraception (LARC) Resources
Sister Song and National Women's Health Network LARC Statement of Principles
LARC Toolkit: LARC Guidance and Resource Guide from Indiana Department Of Health
LARC: Specific Issues for Adolescents from American Academy of Pediatrics (AAP)
Adolescents
Contraception for Adolescents, Policy Statement from the American Academy of Pediatrics (AAP):
AMAZE.org – they take the awkward out of sex-ed.
Vasectomy Information
Locations and prices in Marion County for vasectomy care