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County Budget Hearings are currently taking place. Health Agency clients and community members may call the 24/7 Health Agency phone line for assistance at (805) 788-2399 or the Public Health Phone Line at (805) 781-5500. For regularly updated information, please visit the Resources to Continue Your Care webpage.

Health Agency | Public Health

County of San Luis Obispo

Home » Departments » Health Agency » Public Health » Forms & Documents » Reproductive Health

Reproductive Health

  • Attestation Regarding a Requested Use or Disclosure of Protected Health Information (PHI) Potentiall
  • Reproductive Health Registration Form
  • Reproductive Health Registration Form - SPANISH
  • Reproductive Health - Consent for Examination and Treatment
  • Text and Email Consent
  • FPACT Client Eligibility Certification Form (CEC)
  • EWC Enrollment Form
  • EWC Enrollment Form - SPANISH
Picture of Penny Borenstein, MD, MPH

Penny Borenstein, MD, MPH

Health Officer/Public Health Director

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County Government Center

1055 Monterey Street, San Luis Obispo, CA 93408

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County Phone Directory: 805-781-5000

(Toll free: 800-834-4636)

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