Provision of Family Planning and Related Services Sample Policy Template

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Linkages to Primary Care and Other Services Title X Family Planning Program
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Title X grantees are expected to have a written policy that requires subrecipients and service sites to have policies for providing needed referrals. This sample policy template can be modified with agency or site-specific information.

This tool is part of “Establishing and Providing Effective Referrals for Clients: A Toolkit for Family Planning Providers” which supports Title X grantees’ ability to provide effective referrals to meet the needs of their clients.