Tmhp Sterilization Consent Form
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People also ask
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What is the consent for sterilization form in SC?
The Consent for Sterilization - SCDHHS form 687, is required for ALL procedures intended to result in sterilization. The Consent for Sterilization - SCDHHS form 687, is NOT required when a Hysterectomy is to be performed and prior sterilization has occurred.
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What consent is required for sterilization?
STATEMENT OF PERSON OBTAINING CONSENT I informed the individual to be sterilized that his/her consent can be withdrawn at any time and that he/she will not lose any health services or any benefits provided by Federal funds.
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What are the rules for female sterilization in Florida?
You must be over 18 years of age to get a tubal ligation. Once your tubes are tied (i.e., surgically disconnected and sealed), you can no longer have a baby. Tubal ligation is an important and life-altering decision, so you must be an adult to make it.
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What is a PM330 consent form?
CONSENT FORM PM 330 State of California -- Health and Human Services Agency NOTICE Department of Health Services YOUR DECISION AT ANY TIME NOT TO BE STERILIZED WILL NOT RESULT IN THE WITHDRAWAL OR WITHHOLDING OF ANY BENEFITS PROVIDED BY PROGRAMS OR PROJECTS RECEIVING FEDERAL FUNDS.
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What is the procedure code for sterilization?
What is sterilization? Sterilization is any medical or surgical procedure intended to render the client permanently incapable of reproducing. This includes vasectomies (CPT® code 55250), tubal ligations (CPT® codes 58600, 58605, 58611, 58615, 58670, and 58671), and hysteroscopic sterilizations (CPT® code 58565).
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Is spousal consent required for sterilization?
The consent of the spouse is not required even if it incidentally will result in the sterilization of the patient. Statutes in Georgia, North Carolina, and Virginia requie the written consent of the patient's spouse to voluntary sterilizations.
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