home
about us
advocacy
become a client
contact us
donate
emergency contraception
   click here to order
employment
family planning waiver
faq
forms
gardasil
links
news
pay bills
programs & services
risk assessment
shop online
 

Donate to FPHS, Inc.
* = Required Field

* Last Name: 
* First Name: 
* Street Address: 
Street Address #2: 
* City: 
* State, Zip:  ,  
Telephone: 
Email: 
  Please send a confirmation email
* Donation Amount:  $     Donation is for EC Campaign
* Credit Card Type:  Visa      Mastercard
* Credit Card Number: 
* Credit Card Expiration:  /
  Please read and agree to the Authorization to Bill statement listed below:

* I Agree to the Authorization of Billing terms above.
 
 


fphs - family planning health services, inc.
719 North Third Avenue, Wausau, WI 54401
(715) 675-9858 or toll free (800) 246-5743
email: info@fphs.org

This 'info' e-mail address is answered during usual business hours - Monday-Friday.
If your question requires an immediate response, you are welcome to call 800-246-5743 during business hours Monday-Friday. This e-mail address is not meant to answer emergency/urgent health concerns. If you are experiencing an emergency or urgent health concern, please contact your nearest Emergency Room or dial 911.

HIPAA Notice of Privacy Practices© 2008 All Rights Reserved.