Basic Health Preconception Male Adolescent HIV Infertility GYN Promotion/Disease Health Clinic Site Services Services Services Services Conditions Prevention Services Legend 1 = Provided on-site 3 = Referral outside clinic, but paid for by Title X 2 = Reserved for Grantee Use Only 4 = Not provided at clinic site Attachment H Agency Name: SERVICES PROVIDED within the Title X Project (page 3) FERTILITY REGULATION 3 Month Hormonal/ Vaginal Cervical Hormonal Oral Contraceptive Ring Cap/ Emergency Clinic Site IUD/IUS Injection Contraceptives Patch Diaphragm Contraception
Clinic Site Male Services Adolescent Services HIV Services Basic Infertility Services GYN Conditions Health Promotion/Disease Prevention Preconception Health Services Legend 1 = Provided on-site 3 = Referral outside clinic, but paid for by Title X 2 = Reserved for Grantee Use Only 4 = Not provided at clinic site Attachment H Agency Name: SERVICES PROVIDED within the Title X Project (page 3) Clinic Site FERTILITY REGULATION IUD/IUS 3 Month Hormonal Injection Oral Contraceptives Hormonal/ Contraceptive Patch Vaginal Ring Cervical Cap/ Diaphragm Emergency Contraception
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