Family Planning Forms
- Initial History Form
- Annual History Form
- Client Demographics
Consent for Exam
LocationsWCHD @ 555 North Court Street - Fourth FloorRockford, IL 61103
401 Division Street
PO Box 4009
Rockford, IL 61110-0509EligibilityWell Women Clinic: women between the age of 35-64 regardless of income not seeking birth control and do not have medical coverage.Family Planning: women of child bearing age who are seeking birth control who have or don't have medical coverageCostFamily Planning Services based upon a sliding fee scheduleHow do I get services?For Family Planning call 815-972-7400 for a scheduled exam.
Pregnancy Testing and contraceptive pick up are on a walk-in basis at the 555 North Court Street location Monday through Friday from
8:00 am - 11:30 am. - 1:00-4:00 pm.
The office is closed from 12:00 - 1:00 pm.New! 1:00-4:00 pm.Walk in Clinic every Tuesday afternoon for clients who need birth control and unable to make an appointment or keep an appointment. There will be a nurse practitioner to do exams and order birth control.
For Well Women call 815-972-7250 to schedule an appointment.HoursWCHD @ 555 North Court StreetRe-suppy: Monday - Friday from 8:00 am - 11:30 am-1:00-4:00 pm Pregnancy Testing Walk-In: Monday - Friday 8:00 am - 11:00 am-1:00-4:00 pm. Office closed from 12:00 - 1:00 pm.ContactFamily Planning: 815-720-4370
Well Woman Clinic: 815-972-7250