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2
<br /> C. Program 5tructuhe
<br /> 1. yp es o clinics, Schedules & Location
<br /> clinic days with extended hours from 8:00 •- 5:30 are held
<br /> each week, one day at the Hillsborough office and one at the Chapel
<br /> Hill office. Any type of F.P, patient can be seen at any time
<br /> during the clinic day with the exception of new enrollees who are
<br /> scheduled to come for a special orientation and educational session.
<br /> Special Teen Clinics were held during October, 1975 through
<br /> January 1979 during late afternoon hours (Prom 3 P.M, - 5 P.M.).
<br /> Despite publicity and encouragement to attend these special•clinics
<br /> our teenage clients prefer to attend the regular.clinic during mid--
<br /> morning hours: After this experience, the administration decided
<br /> to combine the teen and regular clinic and to extend the clinic
<br /> hours. In this fashion, we hope not only to provide teens with a
<br /> unique, meaningful educational session, but also to provide working
<br /> women better access to our clinics by longer operational hours.
<br /> The services offered during the F.P. clinics include 1) concep-
<br /> tive edudation, 2) laboratory studies (e.g. hematocrit, urinalysis
<br /> for blood, PH, protein, glucose, and microscopic examination, sero-
<br /> logy testing for syphillis & rubella,.pap smear,•culture screening
<br /> for N. gonorrhea, PPD skin test screening for TB or chest x-ray as
<br /> indicated, height, weight, blood pressure, sickle cell testing as
<br /> indicated, blood glucose, pregnancy testing if applicable, 3) med-
<br /> ical exam by physician to include at a minimum chest (heart and
<br /> lung) thyroid, extremities, breast, abdomen, pelvic (visualization
<br /> of cervix, bimanual & recto-vaginal exam) exams and other exams as
<br /> indicated, 4) the review of the medical history including gynecolo-
<br /> gical, obstetrical, cardiovascular, metabolic, neoplastic, neurolo-
<br /> gical and hemopoietic elements, 5) treatment of suspected and proven
<br /> venereal disease, other vaginal infections and uncomplicated urinary
<br /> tract infections, b) counseling for infertility problems with refer-
<br /> rals to patients' choice of source of care, 7) counseling for problem
<br /> pregnancy with appropriate referral, 8) referral and counseling for
<br /> sterilization procedures, male and female, 9) referral and counseling
<br /> for pre-natal care, 10) immunization for rubella, polio, diptheria
<br /> and tetnus as indicated, 11) referral for medical emergencies:-.and
<br /> 12) supply of the desired contraceptive. If any test result is ab-
<br /> normal and the patient needs further medical evaluation, the F.P.
<br /> lead nurse informs the patient by phone call, letter or personal
<br /> visit and the patient is given the option of choosing a referral
<br /> to an appropriate private physician, returning to us for certain
<br /> further evaluations or referral to a speciality clinic at a medical
<br /> center.
<br /> Services are available to anyone with no financial or referral
<br /> requirements and without regard to race, color, national origin,
<br /> religion, creed, age, sex, marital status, or parental consent for
<br /> those age 12 and over. It is our intention to protect the dignity
<br /> of the individual and ensure the privacy and confidentiality of
<br /> the encounter, to the extent adequate space is provided. Grange
<br /> County is presently acting to create adequate space for the Health
<br /> Department. The participants are not subjected to coercion to re-
<br /> ceive services or to employ any particular method of family planning.
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