Current Billing Instructions

  HRSA-Approved Family Planning Provider


Current Fee Schedule

  July 1, 2008 Family Planning Fee Schedule

Archived Billing Instructions

  HRSA-Approved Family Planning Providers Billing Instructions - Use through December 31, 2007

  HRSA-Approved Family Planning Providers Billing Instructions - January 1, 2006 through October 31, 2006

  Family Planning Services and Family Planning Only Program - July 2003

  TAKE CHARGE Program - July 2003

DSHS Forms

To view and download the following DSHS forms which are discussed in the General Information Booklet, click the link below.

http://www1.dshs.wa.gov/msa/forms/eforms.html

• Sterilization Consent Form [DSHS 13-364]
• Client Statement Form [DSHS 13-364a]

For comments or questions regarding health and recovery services, email contact us.

Modified: Tuesday, July 01, 2008.

Send comments or questions about this site to the HRSA Webmaster
For more ways to get in touch with the Department of Social and Health Services go to the DSHS Contact Information Web page.
Technical Site Comments: DSHS Webmaster.