In order to reduce the amount of time spent at your appointment, please download the appropriate forms, print, complete and bring them with you.
A new law was passed in Arizona that requires you to meet with Dr. Goodrick at the office at least 24 hours prior to obtaining an abortion. This law does require an extra appointment. We will also be doing an ultrasound and checking blood type and hemoglobin for anemia. Per Arizona law, there is no charge for this visit. Click Here to read state mandated information the doctor will be reviewing with you.
At least 24 hours prior to having your abortion, you will need to review certain state-mandated information about your abortion in person with the doctor. At Camelback Family Planning, we offer the Abortion Pill (Medical Abortion/RU 486) or surgical abortion. Please be sure to read about the different methods. Once you have determined which type of abortion you plan to have, please call the office to schedule your state-mandated with the doctor.
Please feel free to call our office at any time if you have any questions regarding your care. You will have an opportunity to ask Dr. Goodrick and the staff any additional questions on the day of your procedure.
NOTE: The following forms are made available to you online in Adobe Acrobat Reader. Please access www.adobe.com for a FREE download.
- Surgical Abortion Consent Form
- Medical Abortion (RU-486) Consent Form
- Health History Form
- Patient Registration Form
- Depo-Provera Consent Form
- Emergency Contraception "Morning-After Pill" Consent Form
If you are under the age of 18, you must have parental consent. Please download the form, have it completed and bring to your appointment:
If you feel you cannot tell your parent or guardian, you will need a judicial bypass. Please call the office so we can help you.
If you are over 14 weeks, these forms might be needed (call office to see):
Please do not hesitate to call our office for additional information or help obtaining these forms.
