GHCAA Women's Health Services

The Green Hills Women's Health Services Program offers confidential services to nearly 2,000 women annually. GHCAA WHS offers both daytime and evening clinics in 10 counties. Services provided range from exams, laboratory services, information and educational services, and referral services as well. The Women's Health Program is open to all people who request services, without restrictions on income or age.

Information & Forms

Please review the links and forms below to learn more about GHCAA's Women's Health Services.

Women's Health Services Brochure

Notice Of Privacy Practices

Sliding Scale Fee Schedule (Cost of Services)

Medical Records Release

GHCAA Family Planning(Yellow Form)

GHCAA Women's Health Services (Pink Form)

Oral Contraceptive Informed Consent Form

Male Informed Request & Consent For Treatment

Consent for DMPA Contraceptive Injection

Informed Request & Consent for Treatment

Women's Health Services Program 1115 Form (If you are uninsured in the state of Missouri, please fill out this form and take it to your local DFS office. View income guidlines and more information. The completion of this form can greatly help reduce the cost of your exam and/or medications! If you have questions regarding this form, please contact our office by calling 877-611-7600.)