Attachment H FAMILY PLANNING COUNCIL OF IOWA SERVICES PROVIDED WITHIN THE TITLE X PROJECT Attachment H SERVICES PROVIDED within the Title X Project (page 1) Client Pregnancy Informed Physical Lab Cervical Education/ Diagnosis/ STD STD HPV Clinic Site Consent History Assessment Testing Cytology Counseling Counseling Testing Treatment Vaccination VFC Program 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 FAMILY PLANNING COUNCIL OF IOWA SERVICES PROVIDED WITHIN THE TITLE X PROJECT SERVICES PROVIDED within the Title X Project (page 1) Clinic Site Informed Consent History Physical Assessment Lab Testing Cervical Cytology Client Education/ Counseling Pregnancy Diagnosis/ Counseling STD Testing STD Treatment HPV Vaccination VFC Program 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
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