Requesting changes for A Safe Choice

Back to telehealth provider page

Find the section(s) that need updating, click update, and add the correct information. When you're done updating the section(s), scroll to the bottom of the form, enter your email (this is required in case we need to follow up) and click the Submit Change Request button.

Provider name

A Safe Choice

Update to

Website

https://asafechoicenetwork.com/

Update to

Must be a complete URL

Teleservice states

Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, North Carolina, South Carolina, Tennessee, Texas, Utah, West Virginia, Wisconsin, Wyoming, South Dakota, Oklahoma, Connecticut, Illinois, Maryland, Massachusetts, New Jersey, Vermont, Rhode Island, Colorado, New Mexico, Maine, California, Hawaii, New Hampshire, New York, Oregon, Virginia, Washington, Alaska, Michigan, Ohio, Pennsylvania, District of Columbia, North Dakota, Puerto Rico

Update to

Preview

    Member of ACN?

    No

    Update to

    Member of NAF?

    No

    Update to

    Provider phone

    (707) 710-8866

    Update to

    Provider appointment form link (URL)

    https://asafechoicenetwork.com/

    Update to

    Must be a complete URL

    Link to Pricelist (URL)

    https://asafechoicenetwork.com/

    Update to

    Additional information about provider services

    This provider works with OPTIO Women's Health to offer free medical consultations with a licensed doctor (M.D.) by telephone (telehealth) or get care via a confidential online form with no telephone call needed.

    Update to

    How early (in gestational weeks) does provider offer abortions?

    Not filled

    Update to

    Weeks must be an integer and days must be between 0 and 6

    How late (in gestational weeks) does provider offer medical (abortion pills) abortions?

    13

    Update to

    Weeks must be an integer and days must be between 0 and 6

    Does provider offer translation services?

    Not filled

    Update to

    Preview

      Does provider offer advanced provision?

      Yes

      Update to

      Does provider accept medicaid?

      Not filled

      Update to

      Does provider accept insurance?

      Not filled

      Update to

      Does provider accept FSA?

      Not filled

      Update to

      Twitter (URL)

      Not filled

      Update to

      Must be a complete URL

      Facebook (URL)

      Not filled

      Update to

      Must be a complete URL

      Instagram (URL)

      Not filled

      Update to

      Must be a complete URL