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  • G P Tab Sab Ectopic Lmp Lnmp - Family Pact - Familypact

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FEMALE MEDICAL EXAM Name Age ALLERGIES NKDA SUBJECTIVE Chief complaint/Purpose of visit: G P TAB SAB Ectopic LMP LNMP Current BCM Since Date of last pill/injection Currently breast feeding? Yes No.

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Family PACT provides no-cost family planning services. Reproductive health services (such as sexually transmitted infections and cervical screening) are covered when the services are provided as part of, or a follow-up to, a family planning visit. Family PACT does not cover primary care services.

Pregnancy care, other than the diagnosis of pregnancy and the required counseling about options, is not covered by the Family PACT program. Abortions and services ancillary to abortions are not benefits of the program.

2022 Income Eligibility Guidelines for Family PACT Program Number of Persons In family/householdMonthly Income (In dollars)Annual Income (In dollars) 1 2,265 27,180 2 3,052 36,620 3 3,838 46,060 4 4,625 55,5005 more rows • Apr 22, 2022

If you are eligible, Family PACT covers the cost of tubal ligation.

You can use the Family PACT program at various clinics, doctors' offices, pharmacies, etc. across the state of California, as long as the provider you go to accepts the program. Visit https://familypact.org/ for a list of providers in your area.

Family planning-related services include the diagnosis and treatment of specified STIs in addition, the program covers urinary tract infections (UTIs), and screening for cervical cancer and treatment of pre-invasive cervical lesions for women when the care is provided coincident to a family planning visit for the ...

Pregnancy care, other than the diagnosis of pregnancy and the required counseling about options, is not covered by the Family PACT program. Abortions and services ancillary to abortions are not benefits of the program.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232