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Attention: Medical Records Clerk 801 E. Patella Avenue Anaheim, CA 92805 7146336373 (Main)AUTHORIZATION FOR USE OR DISCLOSURE OF HEALTH INFORMATIONPatient Name: ___ MR# ___ DOB: ___ SSN: ___ Phone:
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To fill out the contact form for Planned Parenthood, follow these steps:
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Go to the Planned Parenthood website (plannedparenthood.org)
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Click on the 'Contact Us' link, usually found in the footer or navigation menu
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Select the category or topic that best fits your reason for contacting
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Who needs contact usplanned parenthood of?

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Anyone who has questions, concerns, or inquiries related to sexual and reproductive health can contact Planned Parenthood. This includes individuals seeking: contraceptive information, abortion services, STI testing and treatment, pregnancy options counseling, general sexual health education, LGBTQ+ healthcare information, and support for survivors of sexual assault. Planned Parenthood is committed to providing confidential and nonjudgmental care to all individuals in need.
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Contact Us Planned Parenthood is a service that allows individuals to reach out to Planned Parenthood for inquiries regarding their services, health care, and support.
Individuals seeking reproductive health services or information from Planned Parenthood may be required to provide their details through the Contact Us form if they want assistance.
To fill out the Contact Us form for Planned Parenthood, individuals should visit their official website, navigate to the Contact Us section, and complete the required fields, including name, email, phone number, and message.
The purpose of the Contact Us section of Planned Parenthood is to facilitate communication between individuals and the organization, allowing people to inquire about services, make appointments, or request information.
The information typically required includes personal details such as name, contact information (email and phone number), and any specific inquiries or messages regarding services.
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