Beyond the Pill at UCSF Bixby Center Educational Materials Order Form
We are happy to provide our patient education materials to you for free. Please fill out the form below to place your order. Your order should arrive approximately 4-8 weeks after submitting it, but it is possible that it may take longer.

If you have any questions, please contact us at beyondthepill@ucsf.edu. Thank you!
Sign in to Google to save your progress. Learn more
Email *
PRE-ORDER Birth Control: What’s Important to You? Flip Chart (English)

The Birth Control: What’s Important to You? Flip Chart is a bound contraceptive counseling tool and educational resource that groups birth control methods according to common patient priorities.

To request this material you must be: 

  • Located in the United States
  • A publicly funded and/or non-profit clinic

Please select the quantity you would like to pre-order below. You may request up to 5 flip charts per site at this time.

This material is currently in production. Pre-orders will be filled beginning in late summer 2024.

Captionless Image
PRE-ORDER Birth Control: What’s Important to You? Flip Chart (Spanish)

The Birth Control: What’s Important to You? Flip Chart is a bound contraceptive counseling tool and educational resource that groups birth control methods according to common patient priorities.

To request this material you must be: 

  • Located in the United States
  • A publicly funded and/or non-profit clinic

Please select the quantity you would like to pre-order below. You may request up to 5 flip charts per site at this time.

This material is currently in production. Pre-orders will be filled beginning in late summer 2024.

Captionless Image
Double-Sided Counseling Charts (English)
These double-sided materials include our "How Well does Birth Control Work?" chart, which highlights different birth control methods and their effectiveness, and our "Oops! Emergency Contraception: Birth Control that Works After Sex" chart, which highlights the different options for emergency contraception and their effectiveness.
Double-sided Counseling Chart
Laminated Chart-- 8.5" x 11"
Tear Sheet Pad (50 sheets per pad)
"How Well Does Birth Control Work?" Poster
This colorful counseling chart highlights different options for birth control and their effectiveness.
How Well Does Birth Control Work?
Poster-- 13" x 17"
"Oops! Emergency Contraception: Birth Control that Works After Sex" Poster
This colorful counseling chart highlights different options for Emergency Contraception and their effectiveness.
Oops! Emergency Contraception: Birth Control that Works After Sex
Poster-- 13" x 17"
"Birth Control for Your Life!" Video
A new 19-minute educational video on contraceptive methods, which features young women discussing their birth control methods. This video has 9 chapters and covers IUDs, implants, the pill, the patch, the ring, the shot, condoms, and emergency contraception. This video is perfect for use in a waiting room, exam room, or classroom setting, and has both English and Spanish closed captioning.
https://vimeo.com/271757026
New Video (DVD)
New Video (USB)
Double-Sided Counseling Charts (Spanish)
Double-sided materials with both our "Qué Tan Efectivo Son Los Anticonceptivos?" and "Ay! Anticoncepción de Emergencia: Métodos que Funcionan Después de Tener Sexo" for ease of use.
Double-sided Counseling Charts - Spanish
Laminated Chart-- 8.5" x 11"
Tear Sheet Pad (50 sheets per pad)
"Qué Tan Efectivo Son Los Anticonceptivos?" Spanish Counseling Chart
A Spanish version of our colorful "How Well Does Birth Control Work?" counseling chart.
Qué Tan Efectivo Son Los Anticonceptivos?
Poster-- 13" x 17"
"Ay! Anticoncepción de Emergencia: Métodos que Funcionan Después de Tener Sexo" Spanish Counseling Chart
A Spanish version of our colorful "Oops! Emergency Contraception: Birth Control that Works After Sex" Counseling chart.
Ay! Anticoncepción de Emergencia: Métodos que Funcionan Después de Tener Sexo
Poster-- 13" x 17"
Contact & Shipping Information
Contact Name *
Contact Email *
Shipping Address Line 1 *
Shipping Address Line 2
City *
State/Province *
Zip/Postal Code *
Organization Information
Organization Name *
Organization Type (eg, community clinic, community college, private practice, private hospital, Planned Parenthood, social service agency) *
Choose all that apply:
Required
How do you plan to use these materials at your organization? *
Please list the different health centers that may use these materials and the approximate number of female contraceptive clients (unduplicated per year). *
Please include Health Center Name(s); Location (city, state); Total number of contraceptive clients.
Additional Information
How did you hear about our educational materials? *
Ex. APHA Conference, San Francisco training
We are continually developing new contraceptive educational materials and resources. Would you like us to contact you as these new materials and resources become available? *
Additional Requests or Questions
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms