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Access to abortion care in the United States (US) is restricted by numerous logistical and financial barriers, which have been further intensified by the COVID-19 pandemic. We sought to understand the ways in which COVID-19 prompted changes in clinical practices in abortion care among independent abortion clinics. We surveyed independent US abortion clinics and documented changes in practice regarding the provision of abortion since March 1, 2020. Among about 153 independent clinics invited, 100 clinics contributed relevant data and were