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NH Department of Health and Human Services (HHS) Division of Family Assistance (DFA) DFA Form 800FP 04/14 APPLICATION FOR FAMILY PLANNING MEDICAL ASSISTANCE (FPGA) A. Please tell us about the FPGA
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How to fill out application for family planning

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How to fill out an application for family planning:

01
Start by gathering all necessary information and documents. This may include identification documents such as a passport or driver's license, proof of income, and any medical records relevant to your family planning choices.
02
Research the different methods of family planning available and determine which one suits your needs best. This could be contraception, fertility awareness, or sterilization. Educating yourself about the options will enable you to make an informed decision.
03
Contact your healthcare provider or local family planning clinic to obtain an application form. They will guide you through the process and address any questions or concerns you may have.
04
Carefully fill out the application form, providing accurate and complete information. Be sure to include any necessary details about your medical history, current medications, and any allergies or health conditions that may impact your family planning choices.
05
If applicable, discuss the application with your partner or spouse to ensure both parties are on the same page regarding family planning decisions. Open communication is key in this process.
06
Once completed, review the application form for any errors or missing information. It's important to double-check everything to ensure the application is filled out accurately.
07
Return the application form to the designated healthcare provider or family planning clinic. They will provide further guidance on the next steps, such as scheduling an appointment or providing additional documentation if required.

Who needs an application for family planning?

Anyone who wishes to actively manage their reproductive health and make informed choices about their family planning can benefit from filling out an application for family planning. This includes both individuals and couples who are considering various methods of contraception, fertility awareness, or permanent sterilization. The application helps healthcare providers assess the individual's or couple's needs and provide appropriate guidance and support. It also ensures that the chosen family planning method aligns with their preferences, lifestyle, and personal circumstances.
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An application for family planning is a form or request submitted by individuals or couples who wish to access birth control or other family planning services.
Anyone who wishes to access family planning services or contraceptives is required to file an application for family planning.
To fill out an application for family planning, individuals need to provide personal information, health history, and preferences for birth control methods.
The purpose of the application for family planning is to ensure individuals receive the appropriate birth control or family planning services tailored to their needs.
Information such as personal details, medical history, current contraception methods, and preferences for birth control options must be reported on the application for family planning.
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