You indicated you are under 18. There are a few additional requirements and steps for patients under 18 to receive abortion care in Virginia.
Please read through our Information for Patients Under 18 section for forms and details. One of our patient educators can also help explain the process; please feel free to call 703-532-2500 or email firstname.lastname@example.org to speak with one of our patient educators.
A medication abortion (also known as the “abortion pill”) is a safe and effective method for an abortion through 9 weeks.
At Falls Church Healthcare we use a combination of 2 medications to end a pregnancy: Μifepгistоnе and Μisоpгostоl
You will have an opportunity to meet with your patient educator to discuss the procedure and your feelings and concerns prior to this appointment. Our staff is here to support and help both patients and those who are with you in this experience.
Completing the medication abortion procedure itself only takes 5-10 minutes. However, you should expect to be in our center for your appointments for 1.5 to 2 hours — which includes registration, paperwork, lab services, procedure review and your actual abortion care appointment.
At Our Office: You will swallow the first pill. It is not unusual to have some spotting or even bleeding after the first medication, but the procedure is not yet complete.
At Home: You will take the Μisоpгostоl tablets as directed, helping the uterus to contract and empty. You will take these pills 12 to 48 hours later, considering your clinician’s recommendations and your personal schedule. After you take the Μisоpгostоl you will have bleeding and strong cramping that may be severe, dramatic or simply similar to one of your “bad” periods. This may last a few hours.
Aftercare: Plan to follow up by phone in 2 to 3 weeks. It is very important for patients to have a follow-up examination especially if pregnancy symptoms have not decreased.
There are options for your follow-up assessment to verify you have successfully expelled your pregnancy tissue completely which we can review with you. Additional Information on Abortion Pill (Medication Abortion):
A procedural abortion, also known as aspiration abortion, is usually administered by a method called vacuum aspiration. The procedure itself usually takes only five to ten minutes, and is a common in-office gynecology service.
While the procedure itself last only minutes, additional time is needed for registration, paperwork, lab services and recovery. Please plan to be in our office for 2.5 – 3 hours for your abortion care appointment. (If your last menstrual period was more than 12 weeks ago, please plan to be in our office for up to 4 hours.)
You will have an opportunity to meet with your patient educator to discuss the procedure and your feelings and concerns at your appointment. Our staff is here to support and help both patients and those who are with you in this experience.
In the video below, Dr. Jan Fruiterman, one of the board-certified gynecologists at Falls Church Healthcare Center, explains aspiration abortion:
You will be assigned a patient educator who serves as your advocate to assist you with paperwork, review your appointment and answer your questions. At your appointment your sonogram will be obtained and medical history reviewed, lab work is performed and pre-medications given before you are readied for the procedure. These are important opportunities for you to meet your medical team and to relax.
The abortion procedure will be performed by one of our Board Certified Clinicians. The procedure itself takes only a few minutes and typically is not performed until the embryo is visualized by sonogram, usually after 5-6 weeks gestation.
About 3 weeks after your procedure, please contact FCHC to provide follow-up status. You can do so by calling us or filling out our follow-up form at https://www.fallschurchhealthcare.com/follow-up .
Please Note: Completing a urine pregnancy test prior to calling will help our nurse in your follow-up assessment.
We encourage and will assist you in exploring various family planning / birth control options.
The privacy standards established by 2003 HIPPA Provisions address the privacy and security of patient data.
The information in this box is submitted to the Division of Vital records, Virginia Department of Health. No identifying information will be submitted.
Falls Church Healthcare Center provides abortioncare services by Medication (through 9 weeks) or Procedural Abortions (to 15 weeks). Please review this information carefully and review the additional information and videos in our website’s Patient Center. You will have opportunities to discuss this important information with your Patient Educator during your virtual Telehealth appointment or in person on the day of your abortioncare.
We trust that our patients can consider the alternatives, benefits and risks to make an informed choice about their pregnancy.
If you are pregnant, you have three basic choices:
In addition to abortioncare, Falls Church Healthcare Center provides miscarriage management, interim prenatal care, referrals for pre-natal care and adoption facilitation services as part of our gynecology and reproductive health practice.
The decision of which abortioncare method to choose is a completely personal choice. There are two common, very safe methods for ending a pregnancy:
Abortion has various benefits, depending upon the individual:
Benefits of medication abortion. It is a safe and effective way to end a pregnancy. It can be completed in the privacy of your home and does not require a pelvic exam. How well does medication abortion work? It depends how far along you are in your pregnancy. The boxes below tell you how well medication abortion works by week of pregnancy:
Benefits of procedural abortion: It is a safe and effective way to end a pregnancy. With the aspiration procedure, the abortion is completed by the time you leave the medical office. How well does aspiration abortion work? The procedure is almost 100% effective, you can expect to no longer be pregnant when you leave the medical office after your procedure.
GENERAL SAFETY: According to the best medical evidence available, abortion is safer than getting a dental procedure or cosmetic surgery and much safer than childbirth. According to that evidence, in the United States, a woman is about 15 to 25 times more likely to die in childbirth than she is during an abortion. (National Abortion Federation)
GENERAL RISKS: All medical procedures have known and unknown risks. Whether a pregnancy ends by abortion, miscarriage, or childbirth – risks, complications, adverse events and side effects are possible. Whether a pregnancy ends by abortion, miscarriage, or birth, there are risks to one’s health. Weighing the alternatives, benefits and risks is a personal process. Please refer back to our website (fallschurchhealthcare.com) if you are unsure about your decision. Complications of pregnancy, including death are greater from childbirth than from induced abortion.
Patients receiving procedural abortions: 97% report no complications; 2.5% have minor complications that can be handled at the medical office; and less than 0.5% have a more serious complication that requires some additional procedures and/or hospitalization.
Patients receiving medication abortions have an excellent safety profile as well, with serious complications occurring in less than 0.5% of cases. (National Abortion Federation)
There are risks involved with abortion just as there are risks associated with any medical procedure:
DURING AN ASPIRATION ABORTION (Procedural) the entrance to the uterus (cervix) is slowly opened with smooth, rounded instruments (dilators). The pregnancy is then removed using gentle aspiration (suction). Aspiration abortion is very safe and successful; over 99% of all patients experience a complete abortion.
Although rare, possible adverse events (complications) documented throughout the U.S and Canada include:
DURING A MEDICATION ABORTION (“The Abortion Pill”) two medicines are used to end your pregnancy: Mifepristone is taken in our office; Misoprostol is taken at home to help your uterus expel the ended pregnancy. Medication abortion is very safe and successful; over 96% of all patients experience a complete expulsion of the pregnancy within two weeks.
Although rare, possible adverse events (complications) include:
If you would like to review a PDF copy of the consent form, you can find it here (English/Español).
I, as the patient or legal representative for the patient, request a regional anesthesia or I.V. sedation service for my pending procedure to minimize pain and discomfort I might otherwise experience.
PLEASE READ CAREFULLY
CARE WITH SEDATION
Patient or Legal Representative Certification: I have disclosed any prior adverse reactions to anesthesia and have disclosed my allergies. I have disclosed all medications and drugs I use. I understand using methadone, methamphetamine, heroin, cocaine and other drugs may increase anesthesia risks. I hereby consent to have regional anesthesia, or I.V. sedation and authorize that it be administered by FCHC’s licensed Sedation Clinician or Doctor. I also consent to alternative types of anesthesia, if necessary, as deemed appropriate by them. I understand the contents of this document, agree to its provisions, consent to the administration of anesthesia, and I am knowledgeable of its risks and benefits. I have been given the opportunity to ask any questions I may have. All of my questions have been answered satisfactorily.
You indicated an interest in Medication Abortion. Please see the aftercare instructions below. If you have any questions you will have an opportunity to discuss this with your patient educator.
You can also download the instructions here.
You can also download a PDF of this form locally here.
How to Manage
COMPLETING YOUR FOLLOW-UP ASSESSMENT THREE WEEKS AFTER YOUR IN-PERSON APPOINTMENT:
You indicated an interest in Procedural Abortion. Please see the aftercare instructions below. If you have any questions you will have an opportunity to discuss this with your patient educator.
You can also download aftercare instructions here.
Cramping, spotting and/or bleeding are expected.
COMPLETE YOUR FOLLOW-UP ASSESSMENT THREE WEEKS AFTER YOUR IN-PERSON APPOINTMENT:
You indicated that you're not yet sure which type of abortion is right for you. Below are the aftercare instructions for both Medication (Abortion Pill) and Procedural abortion. You'll have an opportunity to discuss your options further with your patient educator to help you make the best decision.
You can also download the aftercare instructions here:
Using my Insurance: Falls Church Healthcare Center (FCHC), as a service for you, will file your claim for payment of your medical care with your listed Insurance Carrier. Although we rely on your insurance company’s good faith pre-authorizations, verifications, certifications and coverage approvals and their reported co-pay, co-insurance and deductible amounts the claim may still be denied by your insurance company or some services not covered once FCHC files your claim. Your insurance plan is a contract between you and your insurance company. We must hold you responsible for any balances due. If your policy includes a co-insurance, a co-pay or deductible amount, that is determined by your insurance company and collected by FCHC at the time of service. If our office does not hear from your insurance company within 30 days, we may request your help in contacting your insurance company to resolve the payment delay. Please supply your insurance card and a photo I.D. at each office visit.
If you are not sure if your Insurance Policy includes pregnancy or gynecology benefits, we recommend that you call your policy customer service number on the back of your insurance card for clarification.
Authorization for Release of Information: I authorize Falls Church Healthcare Center to disclose all or any parts of my medical record to my listed insurance company(s) and any review agency which conducts practice utilization review under a HIPPA agreement with patient’s payment source. I also understand that I may revoke this authorization by providing written notice to Falls Church Healthcare Center.
Laboratory Billings: Your services may include laboratory studies required by your insurance company and or requested as a standard of care by your clinician. Your clinician will discuss the recommended additional tests as part of your care. Though the specimens may be collected at FCHC, these studies are NOT conducted at
FCHC but sent to and conducted by an independent laboratory. That independent laboratory will file a claim to your insurance company separately. Any unpaid deductibles, co-insurance and copay as well as denials by your insurance company for those laboratory studies will be billed to you separately by the independent laboratory and will be your financial responsibility.
Payment of Services: I understand I am financially responsible for all charges and fees related to the services provided to me by FCHC. I understand that laboratory services if any that are provided by other than FCHC may incur charges separately billed by the laboratory. I further understand that payment in full for any unpaid
amount is expected upon receipt of Falls Church Healthcare Center’s first invoice. The invoiced charges may include unpaid co-payments, to be billed co-insurance amounts, unpaid deductibles and any fees for services not covered or denied by your insurance company such as medications and anesthesia. I understand I can
request a payment plan to be arranged. I understand that 10% late fees may be attached to unpaid balances. I understand I am financially responsible for any legal fees and collection service fees related to the collection of my overdue outstanding balances.
Assignment of Benefits: I hereby authorize and request that my insurance company(s) make payment for my medical care directly to the Falls Church Healthcare Center or its assigns. In the event an overpayment is made from more than one insurance company, I understand the overpayment will be sent to the appropriate payor.
Please confirm that you acknowledge all of the above information by supplying your signature (which you can draw with your finger or the mouse) and today's date.
You will have an opportunity to review these forms and your signature at your in-person appointment.