Contraceptive Service Visits Pregnancy Testing STD Testing Emergency Initial and Annual Visit Deferred Exam Supply/follow up visit Contraception Visit As clinically indicated: Pregnancy test, if indicated STD, HIV, Hepatitis C STD, HIV, Hepatitis C Urine Pregnancy Test STD, HIV, and HCV Pap test as recommended by testing, if indicated testing, if indicated Negative Result testing as indicated STD, HIV, Hepatitis C based Cancer Screening on sexual health history STD, HIV, Hepatitis C Other tests, as indicated Guidelines. testing based on risk (e.g. HBV) factors annual routine screening for See STD guidelines annual routine screening for age < 24 years age < 24 years annual routine Other per patient assessment STD, HIV, Hepatitis C based screening for age < 24 on sexual health history years Positive Results Other per patient assessment Follow prenatal guidelines for labs if services provided in LHD Follow appropriate Negative Pregnancy test Counseling messages FPEM 19 Family Planning FPEM 19 Family Planning As assessed for – – contraceptive services Follow appropriate should include (see Booklet Booklet individual patient protocol if patient contraceptive services STD guidelines): needs Reproductive Life Plan Reproductive Life Plan desires contraceptive protocol if patient Take medications as Method specific FPEM Method specific FPEM method. desires contraceptive Contraceptive method of Contraceptive method of directed May provide the method. choice choice Abstain from sex until following, if indicated: May provide the Follow up visit as needed Follow up visit as needed the patient and patient’s following, if indicated: FPEM-1 Benefits partner(s) have been Counsel client as indicated Adolescent Client of planned FPEM-1 Benefits of based on history and Counseling: completely treated pregnancy; planned pregnancy; assessment Abstinence Return for follow-up compliance with compliance with Parental Involvement Adolescent Client appointments routine method routine method Sexual Coercion Counseling: How to obtain test FPEM-2 FPEM-2 Emergency Abstinence Emergency Contraception results Parental Involvement Contraception ACHI-9 Healthier Safe sex, risk Sexual Coercion Lifestyles for Family ACHI-9 Healthier reduction counseling Planning Lifestyles for Pregnancy prevention Family Planning POSITIVE PREGNANCY TEST Options Counseling to identify woman’s choice to maintain the pregnancy, adoption, or termination of pregnancy
Contraceptive Service Visits Pregnancy Testing STD Testing Initial and Annual Visit Deferred Exam Supply/follow up visit Emergency Contraception Visit As clinically indicated: Pap test as recommended by Cancer Screening Guidelines. routine screening for age < 24 years STD, HIV, Hepatitis C based on sexual health history Other per patient assessment Pregnancy test, if indicated STD, HIV, Hepatitis C based on sexual health history routine screening for age < 24 years Other per patient assessment STD, HIV, Hepatitis C testing, if indicated STD, HIV, Hepatitis C testing, if indicated Urine Pregnancy Test Negative Result STD, HIV, Hepatitis C testing based on risk factors routine screening for age < 24 years Positive Results Follow prenatal guidelines for labs if services provided in LHD STD, HIV, and HCV testing as indicated Other tests, as indicated (e.g. HBV) See STD guidelines FPEM 19 – Family Planning Booklet Reproductive Life Plan Method specific FPEM Contraceptive method of choice Follow up visit as needed Counsel client as indicated based on history and assessment Adolescent Client Counseling: Abstinence Parental Involvement Sexual Coercion FPEM 19 – Family Planning Booklet Reproductive Life Plan Method specific FPEM Contraceptive method of choice Follow up visit as needed Adolescent Client Counseling: Abstinence Parental Involvement Sexual Coercion As assessed for individual patient needs Follow appropriate contraceptive services protocol if patient desires contraceptive method. May provide the following, if indicated: FPEM-1 Benefits of planned pregnancy; compliance with routine method FPEM-2 Emergency Contraception ACHI-9 Healthier Lifestyles for Family Planning Negative Pregnancy test Follow appropriate contraceptive services protocol if patient desires contraceptive method. May provide the following, if indicated: FPEM-1 Benefits of planned pregnancy; compliance with routine method FPEM-2 Emergency Contraception ACHI-9 Healthier Lifestyles for Family Planning POSITIVE PREGNANCY TEST Options Counseling to identify woman’s choice to maintain the pregnancy, adoption, or termination of pregnancy Counseling messages should include (see STD guidelines): Take medications as directed Abstain from sex until the patient and patient’s partner(s) have been completely treated Return for follow-up appointments How to obtain test results Safe sex, risk reduction counseling Pregnancy prevention annual annual annual
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