Current Billing Instructions

  HRSA-Approved Family Planning Provider
(Use for dates of service on and after January 1, 2009)

Current Fee Schedule

  January 1, 2009 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.