Sexual / Repro Health, Plan B, and Resource Navigation

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Do you need a free delivery or pickup of Plan B or other pregnancy prevention / safer sex supplies?

Do you have questions about using Plan B, or want to know about your pregnancy prevention options?

Do you need gender affirming care or culturally sensitive sexual healthcare?

Use this form to request services from SWEET and we will follow up with you!

You may use a pseudonym if you wish. Because this program is partially funded by Austin Public Health, we will require confirmation that you are an Austin resident, but can discuss all options and privacy with you when we contact you.

Name *

Pseudonym or work name is fine

Email address *

Phone number *

zip code *

What services do you need? (mark all that apply) *

Plan B (delivery within Austin or Travis County)

Plan B (pick up in North, Central, or South Austin)

Help finding resources for sexual or reproductive healthcare

Help finding a culturally sensitive care provider

Information about how to use Plan B, birth control, or other safer sex supplies

A lyft / uber credit or ride to a sexual or reproductive health appointment

Peer Support

Other:

Required

Do you have any questions, concerns, or accessibility needs?

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