Application for Assistance
If you are not using the one-day travel option from Dallas to Albuquerque, please schedule your appointment at an Albuquerque or Las Cruces Clinic before filling out this application.
Albuquerque
UNM Center for Reproductive Health
Planned Parenthood of the Rocky Mountains, Albuquerque health center
Las Cruces
Full Circle Health Center, Las Cruces
Las Cruces Women’s Health (Pink House West)
Some healthcare facilities and centers request that patients and visitors wear a mask as COVID is still a real threat in our communities. Check with the health center you will be visiting for their procedures on masks and visitors.
Please treat our staff and volunteers with respect and dignity by answering truthfully and completely, so that we can provide the best care for you.