Title X Site Visit Report Template

Disclaimer: On October 4, 2021, the U.S. Department of Health and Human Services (HHS) Office of Population Affairs (OPA) amended the Title X Family Planning regulations to restore access to equitable, affordable, client-centered, quality family planning services for more Americans. The effect of the 2021 Final Rule is to revoke the 2019 regulations and readopt the 2000 regulations with several revisions to increase access to equitable, affordable, client-centered, quality family planning services. The Final Rule went into effect on November 8. This resource is temporarily unavailable while the RHNTC works with OPA to revise it.

This template provides a structure for site visit reports and can be customized.

This tool is part of “Planning and Conducting Title X Site Visits: A Toolkit for Family Planning Providers” which supports Title X grantees’ ability to conduct site visits and monitor subrecipient agencies.