Advisory Committee Quarterly Report

MO 1

MO 2

MO 3

Calls to Hotline

In-depth Abortion counseling

New Adult Clients (In Office for First time)

Counseling Sessions

Post-Abortive Counseling

Adoption Referrals/Placements

Pregnancy Tests

Positive Tests

Negative Tests

Totals

Total:

Total:

Total:

Address to Mail Check:

if available