Medical Services
No Cost. High Quality Healthcare.
Sierra Pregnancy + Health (SPH) is Placer County’s only nonprofit and free-of-charge, pregnancy medical clinic dedicated to offering high quality care to individuals in unplanned, unsupported, or uninsured pregnancies and to those who are seeking STI testing and treatment. SPH offers care regardless of age, gender, religion, income level, sexual orientation, and/or county of residence.
Please Note: We do not provide extended OB/GYN or prenatal care, fertility testing, abortion services, or referrals for abortion.
Pregnancy Testing + Verification
Pregnancy testing is done by our highly trained RNs using medical grade, urine-based pregnancy tests.
Limited Obstetric Ultrasound/Sonogram
First-trimester ultrasounds are performed by either our Clinic Nurse, Sonographer, or OBGYN, and are offered during the first trimester (up to week 13) of pregnancy.
STI Testing + Treatment
STI testing for Gonorrhea and Chlamydia is available to any individual, and is performed using a urine-based test.
Abortion Pill Reversal
If you have taken the first abortion pill (RU 486 / Mifepristone) and are having second thoughts or feelings of regret, there may be help. Using progesterone, many medical professionals have been able to successfully halt a chemical abortion and save over 60% of pregnancies through the abortion pill reversal regimen.
Might be pregnant?
Be sure of your results.
FREE
pregnancy testing + verification.
Pregnancy testing is done by our highly trained RNs using medical-grade, urine-based pregnancy tests. SPH does not provide blood tests to determine pregnancy.
Appointments typically range from 30 to 45 minutes, and you are welcome to bring a support person or come alone.
You will first meet with a patient advocate who will record your health information and provide you with any requested resources. After, a nurse will discuss your test results, and you will have time to ask any pregnancy-related health questions.
You will also receive information on your pregnancy options, additional health care and community referrals, information on applying for Medi-Cal, and a pregnancy verification form needed to apply for health insurance.
If your pregnancy test is positive, you can schedule an appointment for an ultrasound to date and confirm the viability of the pregnancy. We also offer free prenatal vitamins and resource information based on your needs.
How far along are you?
Confirm your dates.
FREE
limited obstetric ultrasounds available.
First-trimester ultrasounds are performed by either our Clinic Nurse, Sonographer, or OBGYN, and are offered during the first trimester (up to week 13) of pregnancy. It is required to have had a pregnancy test with us prior to your scan.
Appointments typically range in length from 30 – 45 minutes, and you are welcome to bring a support person or come alone.
It is best to follow the printed guidelines given to you at your previous appointment to be sure you are prepared for your ultrasound. This includes drinking 16 ounces of water one hour before your appointment and letting your bladder fill. If your bladder is not full, your appointment may be delayed.
Early in pregnancy, a trans-vaginal ultrasound is often performed to an ensure an accurate image is seen and proper data is recorded.
At this appointment, we will confirm the gestational age, viability, and fetal heartbeat. You will also have time to ask questions and receive images from your ultrasound.
Considering an abortion?
Know your options.
FREE
pre-abortion screening.
Prior to an abortion, is important to be seen at a health clinic that can provide pre-screening services to safeguard your reproductive health care and help you make a decision that is right for you.
SPH does not provide nor refer for abortions.
SPH will provide care to make sure you are currently pregnant and your pregnancy is viable (1 in 4 pregnancies end before 7 weeks due to miscarriage), date your pregnancy, and provide you with free STD testing and treatment to minimize your risk of infection.
Appointments typically range from 45 to 60 minutes, and you are welcome to bring a support person or come alone.
You will meet with a patient advocate and a nurse to discuss your health and pregnancy options. This is a great time to ask any pregnancy and abortion-related questions.
We do not recommend purchasing Mifeprex (medication abortion) over the Internet because you will bypass important safeguards designed to protect your health. Click here to review an Abortion Health & Safety Checklist.
We do not provide extended OB/GYN or prenatal care, birth control prescriptions or devices, fertility testing, contraceptives, abortion services, or referrals for abortion.
FREE Diapers, Wipes, Baby Supplies and FREE Parenting + Life Skills Classes
Sierra Pregnancy + Health is dedicated to offering free education and resources to individuals and parents before, during, and after pregnancy. If you or someone you know is in need of parenting classes or essential infant items and cannot afford them, contact us today.
If you are not pregnant, we offer FREE Life Skills classes where incentives can be earned for personal items. Classes require registration.
Have questions? We can help.
To better ensure our patients are accurately informed, we have compiled a list of our most frequently asked questions(FAQs) and the corresponding answers.
We do not provide abortion services, or referrals for abortion.
If you have a question that is not answered here, or if you need additional clarification, please contact us by phone or text at 916-624-8990.
Does Sierra Pregnancy + Health provide abortion services or the abortion pill?
No, Sierra Pregnancy + Health is a life-affirming, state licensed medical clinic. We do not provide, or refer for, abortion services.
Is there a charge to receive services, or are services based on income?
Do I have to be 18 to receive services?
Do I have to be a U.S. or California Citizen to receive services?
No, anyone regardless of citizenship status and state/county of residence may receive services.
What if I don't have an ID?
Photo identification is needed at the time of your appointment. Photo identification can be a drivers license, state ID, school ID, or etc. If you do not have photo identification, your picture will be taken at the clinic and printed out and placed into your medical file.
Is Sierra Pregnancy + Health faith based?
Yes, Sierra Pregnancy + Health is faith-based, however, patients do not have to be of any particular religion to receive services. All are welcome.
Does Sierra Pregnancy + Health offer Abortion Pill Reversal?
Abortion Pill Reversal is available if you have taken the first dose of the abortion pill (Mifeprex or RU-486).
The Abortion Pill Rescue Network will connect you with medical professionals who can guide you toward reversing the effects of the abortion pill. There is help every step of the way. Call now.
CALL THE 24/7 HELPLINE: (877) 558-0333
What is an ectopic pregnancy, and will an abortion fix it?
Pregnancy begins with a fertilized egg. Normally, the fertilized egg attaches to the lining of the uterus. An ectopic pregnancy occurs when a fertilized egg implants and grows outside the main cavity of the uterus. An ectopic pregnancy most often occurs in a fallopian tube, which carries eggs from the ovaries to the uterus.
This type of ectopic pregnancy is called a tubal pregnancy. Sometimes, an ectopic pregnancy occurs in other areas of the body, such as the ovary, abdominal cavity, or the lower part of the uterus (cervix), which connects to the vagina.
An ectopic pregnancy can't proceed normally. The fertilized egg can't survive, and the growing tissue may cause life-threatening bleeding if left untreated.[1]
You may never know why you have an ectopic pregnancy. One cause could be a damaged fallopian tube. It could keep the fertilized egg from getting into your uterus.[2]
Choosing to have an abortion (medical or surgical) is not a treatment for an ectopic pregnancy or miscarriage.
To provide the best care for you, our Pre-Termination appointment includes a pregnancy test and ultrasound to check the placement of your pregnancy and examine for a possible ectopic pregnancy or miscarriage. If treatment is necessary, we will assist you in finding immediate medical care.
If you have had an ectopic pregnancy, we offer grief care to help you process your loss. Please consider scheduling a phone consult to learn more about how we can support you.
What is a miscarriage, and isn’t it a type of abortion?
A miscarriage is the loss of a baby before the 20th week of pregnancy. The medical term for a miscarriage is spontaneous abortion. But it isn’t an abortion in the common meaning of the term.[1] A miscarriage happens naturally and spontaneously, not through surgery or medication. Unfortunately, there is no way to stop a miscarriage from happening. There are many types of miscarriages, and some may require medical support. It is important to see a medical professional for an exam and possible follow-up care.
If you have had a miscarriage, we offer grief care to help you process your loss. Please consider scheduling a phone consult to learn more about how we can support you.
What is a stillbirth? Do I need an abortion when this happens?
Stillbirth is defined by the CDC as the death or loss of a baby before or during delivery at 20 weeks of pregnancy or later. The options for mothers of stillborn babies is generally significantly more limited. Almost all stillborn babies are delivered, either through labor induction or after a mother goes into labor naturally.
Support for mothers of stillborn babies should not only help them emotionally process their labor and delivery experience, but it should provide education and practical resources for physical postpartum recovery, which lasts 6 weeks after giving birth - whether or not your baby was born alive.[1]
If you or someone you know is experiencing a stillbirth, we offer services to help support families through the birthing process and after care. To learn more, please consider scheduling a phone consult with our Director of Reproductive Grief Care.
Does Sierra Pregnancy + Health offer well woman exams or prenatal care?
No, we do not provide extended OB/GYN or prenatal care. We offer pregnancy testing, first-trimester ultrasounds/sonograms, STI testing and treatment, and Abortion Pill Reversal.
Does Sierra Pregnancy + Health offer birth control?
We do not provide birth control prescriptions or devices, fertility testing, or contraceptives.
Does Sierra Pregnancy + Health have medical professionals on staff?
Yes, during your appointment, you will meet with a non-medical patient advocate as well as one of our nurses (RN) or physicians. All medical questions and testing are done by licensed medical staff.
If services are free, how is Sierra Pregnancy + Health funded… what is the catch?
There is no “catch.” Sierra Pregnancy + Health is funded privately by committed, generous donors and organizations. SPH receives no state or federal funding. We are proud to remain funded by the community, for the community, and we will never ask you (our patient) to pay for anything.
Abortion Pill Reversal
Have you taken the first dose of the abortion pill (Mifeprex or RU-486)? Do you regret your decision and wish you could reverse the effects of the abortion pill? There may be help!
When administered within 72 hours after taking the first abortion pill, natural progesterone has been used to safely and effectively restore and sustain the pregnancy.
Recent studies have shown a success rate above 60% if the progesterone is started within 72 hours of taking the first abortion pill.
It may not be too late.
There is help 24/7.
For more information and to find a participating medical professional, call The Abortion Pill Rescue Network 24/7 Helpline: (877) 558-0333. We will help you every step of the way.
Call now (877) 558-0333
Getting Care – How It Works
Schedule a FREE Appointment
Our online scheduler allows patients to schedule their free, in-person medical appointment from the comfort of their phone or computer. Simply choose the available date and time that works best for you and follow the prompts to confirm your scheduled time slot.
Patients may also schedule an appointment for medical or resource-based services by calling or texting Sierra Pregnancy + Health at 916-624-8990.
In order to book your appointment, our staff will need information including your first and last name, date of birth, phone number, last menstrual period and other basic questions.
Disclaimer: All patients must schedule their own appointment, unless there is a specific need for someone else to do so such as the need for a language interpreter, developmental advocate, or etc. If no special accommodations are required, Sierra Pregnancy + Health cannot schedule appointments for friends and family members of a patient.
Fill Out Required Paperwork
Once you schedule your appointment at Sierra Pregnancy + Health, you will be texted online forms to complete about your medical history, including but not limited to, previous pregnancies, overall health, emotional health, and contact information. All information gathered is kept confidential and never released except upon the proper written authorization from a patient.
A copy of your state-issued identification card, driver’s license, or school ID will also be made and used ONLY for your medical file. If you do not have any form of picture identification, please let the staff know and accommodations will be made for you
All services are free and no insurance card or payment is needed for your appointment.
Meet with a Trained Advocate or Medical Professional
During the first portion of your 30-45 minute appointment, patients will meet with one of our highly trained patient advocate volunteers. These are individuals who are interested in getting to know you and skilled at assessing how our organization can best offer support and meet your needs. Patient advocate volunteers gather information about your situation and do not ask medical questions or give medical advice.
During the second portion of your 30-45 minute appointment, one of our qualified RNs or OBGYNs will collect a urine sample and perform your medical testing (pregnancy or STI). They will also ask you any relative medical questions and give proper advice and information based on your specific situation and needs.
Take this Online STD Wizard to find out your risk of infection.
Did you know? According to the CDC, California ranks #1 in STDs and #2 in HIV.
Click the button below to learn more.
Sexually Transmitted Infections – STIs
STI testing for Gonorrhea and Chlamydia is available to any individual, and is performed using a urine-based test.
Symptoms of Gonorrhea and Chlamydia may include unusual sores or discharge, burning while urinating, and irregular bleeding. Be prepared to discuss any symptoms you have experienced with our medical staff.
You may also experience no symptoms. Whether you are symptomatic or not, it is important to get tested after every unprotected sexual encounter.
During your appointment, you will complete a medical questionnaire form and intake session with an RN, you will leave a urine sample, and your results will be recorded within 7-10 business days. A staff member will follow up with you as soon as your results are available.
If your results are positive for an either sexually transmitted infection, a low or no cost treatment plan will be provided to you.
Cost + Insurance
All services are free of charge and without any insurance qualifications or income requirements.
Schedule an Appointment
Questions? Email Us.
No matter who you are or what your story is, our doors are always open and our services are always free and confidential.
Please Note: We do not provide extended OB/GYN or prenatal care, fertility testing, abortion services, or referrals for abortion.