Sample MOU Introductory Letters for Family Planning Referrals

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Referrals and Linkages Title X Family Planning Program
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These sample letters are an example of how to start communication with partner organizations with the goal of developing an agreement that can serve as a mechanism to formalize the relationship between partner agencies with the common goal of optimizing health care delivery and the overall well-being of a shared target population. This sample 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.

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