What Type of service are you seeking? 

By self-scheduling, you are giving us permission to contact you via text or call.
    • [[{"field_id":16718,"subrules":{"field_id":16717,"value":"Women's Health Services","operator":"Match"}}],[{"field_id":16721,"subrules":{"field_id":16717,"value":"Parenting Program Support","operator":"Match"}}],[{"field_id":16720,"subrules":{"field_id":16717,"value":"Counseling Services","operator":"Match"}}]]

Do you think you might be pregnant?

Do you think you might be pregnant?

    • [[{"field_id":10042,"subrules":{"field_id":10039,"value":"No","operator":"Match"}}]]

Have you had a positive pregnancy test?

    • [[{"field_id":10041,"subrules":{"field_id":10040,"value":"Yes","operator":"Match"}}],[{"field_id":16072,"subrules":{"field_id":10040,"value":"No","operator":"Match"}}]]

Want to talk with a RN VIRTUALLY before then? Schedule here:

Which type of provider do you want to meet with?

    • [[{"field_id":10043,"subrules":{"field_id":10042,"value":"Counselor","operator":"Match"}}],[{"field_id":10045,"subrules":{"field_id":10042,"value":"Medical Provider","operator":"Match"}}]]

Are you a new or established counseling client?

    • [[{"field_id":10044,"subrules":{"field_id":10043,"value":"Established Patient","operator":"Match"}}]]

Are you part of the Bridge program?

Are you currently experiencing any symptoms?

Would you like to schedule a Well Woman Exam (includes pap test, STI testing, clinical breast exam, birth control consultation) or IUD removal*?

*Hope Clinic does NOT remove arm implants/Nexplanon.

Would you like to meet VIRTUALLY with a nurse to discuss your possible pregnancy?

Are you currently experiencing any symptoms?

    • [[{"field_id":16719,"subrules":{"field_id":16718,"value":"No","operator":"Match"}}]]

Would you like a Well Woman Exam (includes STI testing, a pap/cervical cancer screening, head to toe assessment, and breast exam) or IUD removal*?

*Hope Clinic does NOT remove arm implants/Nexplanon, nor provide birth control prescriptions.
    • [[{"field_id":16809,"subrules":{"field_id":16719,"value":"Yes","operator":"Match"}}],[{"field_id":16808,"subrules":{"field_id":16719,"value":"No","operator":"Match"}}]]

Are you a new or established counseling client?

Please select one of the options below

    • [[{"field_id":16722,"subrules":{"field_id":16721,"value":"Are you an established BRIDGE program member","operator":"Match"}}]]

Please select one of the options below

Please select one of the options below

Please select one of the options below