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.
Pregnancy Testing + Verification
Pregnancy testing is done by our highly trained RNs using medical grade, urine-based pregnancy tests.

First Trimester Ultrasound/Sonogram
First trimester ultrasounds are performed by either our Nurse Manager or an 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, we may be able to help. Using progesterone, many medical professionals have been able to successfully halt a chemical abortion and save 64-68% of pregnancies through the abortion pill reversal regimen.
Might be pregnant? Be sure of your results.
We can help with 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 in length 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, and information on applying for Medi-Cal, as well as 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 First trimester ultrasounds available.
First trimester ultrasounds are performed by either our Nurse Manager or an 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.
Free Diapers, Wipes, New Infant Clothing + Parenting Classes
Sierra Pregnancy + Health is dedicated to helping 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. All resources provided are free of charge.
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.
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.
Is there a charge to receive services, or are services based on income?
Do I have to be 18 to receive services?
What if I don`t have an ID?
Do I have to be a U.S. or California Citizen to receive services?
Is Sierra Pregnancy + Health faith based?
Does Sierra Pregnancy + Health provide abortion services or the abortion pill?
Does Sierra Pregnancy + Health have medical professionals on staff?
If services are free, how is Sierra Pregnancy + Health funded… what is the catch?
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? We may be able to help!
There is an effective process called abortion pill reversal. Contact us and we can talk to you and offer you help.
We know that an unplanned pregnancy can be scary and many women make decisions to abort under pressure. If you are having second thoughts about a chemical abortion you already started, please contact us. When administered within 72 hours after taking the first abortion pill, progesterone has been used to safely and effectively counteract the chemical medication and sustain the pregnancy. Progesterone does not cause fetal birth defects, and over 1,000 healthy babies have been born through this reversal process.
Our helpline will connect you with one of our medical professionals who can guide you towards reversing the effects of the abortion pill. We will help you every step of the way. Call now.
CALL OUR 24/7 HELPLINE: (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.
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.