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Emergency Contraception in Maryland

EC forms and tools used by the Maryland Department of Juvenile Services.
To access these files, download them to your computer before opening them.

Forms
Consent Form
Fact Sheet
Flowsheet-Protocol
Female Reproductive Assessment

Evaluation Protocols
Audit Forms
Clinic Visit Sheet
Evaluation Structure
Pretest
Intake Assessment Log
Nurse Counseling Checklist
Youth Fact Sheet and Consent Form Quiz
Youth Survey

Clinician Handbook

For PowerPoint training presentations, please contact Jessica Burns, RN, MSN/MPH, nursing program consultant at the Maryland DJS, BurnsJ@djs.state.md.us.

[This article first appeared in the Fall 2009 issue of CorrectCare.]

 
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