Requesting changes for Choices Rising

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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

Choices Rising

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Website

http://www.choicesrising.com/

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Must be a complete URL

Teleservice states

California, Alaska, Colorado, Connecticut, Hawaii, Illinois, Maine, Maryland, Massachusetts, Michigan, Minnesota, New York, New Jersey, New Mexico, Nevada, Oregon, Rhode Island, Virginia, Washington, New Hampshire, Iowa, Kansas, Wyoming, Montana, Delaware, Pennsylvania, Puerto Rico, District of Columbia

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Preview

    Member of ACN?

    Yes

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    Member of NAF?

    No

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    Provider phone

    (707) 200-8291

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    Provider appointment form link (URL)

    https://docs.google.com/forms/d/e/1FAIpQLSeZVZol9RzqQbHWuYTNxWDmhMMC-lH4hKM-hwy_TCR_7zx-Jw/viewform?vc=0&c=0&w=1&flr=0&pli=1

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    Must be a complete URL

    Link to Pricelist (URL)

    Not filled

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    Additional information about provider services

    Choices Rising provides virtual care for Medication Abortions (mailing abortion medication directly to your home) for pregnancies up to 12 weeks in all 50 states and territories. The only insurance Choices can accept is Partnership Health of California for CA residents. Support is available Mon-Fri: 9:00am – 4:00pm PST

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

    Not filled

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    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?

    12

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

    Does provider offer translation services?

    Spanish, Interpretation by telephone available for other languages

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    Preview

      Does provider offer advanced provision?

      Not filled

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      Does provider accept medicaid?

      Yes

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      Does provider accept insurance?

      Not filled

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      Does provider accept FSA?

      Not filled

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      Twitter (URL)

      Not filled

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      Must be a complete URL

      Facebook (URL)

      Not filled

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      Must be a complete URL

      Instagram (URL)

      Not filled

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      Must be a complete URL