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Resources

Outside Provider Toolkit

Fax Coversheet And Release Of Health Information Form:

Fax Coversheet  
Authorization for Release of Health Information Form  

Outside Provider Info:

Outside Provider Hope Information / Referral for Specialized Care Information
Outside Provider Hope Patient Appointment Instructions  

Educational Materials And Aftercare Instructions:

Medication Abortion Education Material
Medication Abortion Aftercare Instructions  

Procedure Abortion Education Material  
Procedure Abortion One Day Aftercare Instructions  
Procedure Abortion Multiple Day Aftercare Instructions  

Contact Information:

  • phone: 618-451-5722
  • fax: 618-451-9092
  • text: 618-248-8048
  • email: info@hopeclinic.com*
  • using the contact form on this page*

    • Contact Form:

    Contact Us

    Hope Clinic

    If you have any questions or concerns, please contact us.

    Contact Us

    (618) 451-5722

    1602 21st Street
    Granite City, IL 62040

    Schedule Appointment

    Mon-Fri: 8:30AM – 5:00PM
    Sat: 7:30AM – 1:00PM
    Sun: Closed

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    Services

    Resources

    Support

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    Hope Clinic provides abortions, abortion pill, and abortion clinic services. We service Granite City, IL and St. Louis, MO. Hope Clinic proudly accepts patients from Missouri, Indiana, Kentucky, Arkansas, Tennessee, Iowa, Mississippi and all across The United States!

    Website, SEO, and Business Consulting By: Partners For Choice

    • (618) 451-5722
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