Family Planning Health Services
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Services:
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The forms below are for your convenience. You may print any of them and mail or fax to a fphs Clinic near you.

 Form  
Client Demographic Information PDF
Birth Control Supplies by Mail PDF
Pill Pick Up Permission Slip PDF
Presentation Request Form PDF
Change of Name and Address Form PDF
Family Planning Waiver / Medical Assistance / BadgerCare Application PDF
fphs Toll Free Number 1-800-246-5743
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fphs • 719 North Third Avenue, Wausau, WI 54401 • (715) 675-9858 or toll free (800) 246-5743 • email: info@fphs.org
info@fphs.org is answered during usual business hours - Monday-Friday. If your question requires an immediate response, please 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/urgent health concern, please contact your nearest Emergency Room or dial 911.

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