STERILIZATION CONSENT FORM NON FEDERALLY FUNDED Cdph Ca
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People also ask sterilization consent form california
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Does Medi-Cal cover sterilization?
Medi-Cal covers sterilization services for people 21 years of age and older, including vasectomies and tubal ligation. To avoid coercion, there are a number of informed consent procedures individuals must undergo before any sterilization procedure can be performed.
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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 informed consent for voluntary sterilization?
A copy of the sterilization consent must be given to the patient and a copy for the physician and hospital and attached to all claims for sterilization procedures. 30 days (but not more than 180 days) must pass after the sterilization consent form has been signed. The 30 days starts the day after the consent is signed.
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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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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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What states require spousal consent for a hysterectomy?
In 1974 states like Georgia, North Carolina, and Virginia required spousal consent for procedures, but by the end of the 1970s, the requirement had been challenged by a handful of court cases, and federal courts ruled state spousal consent laws unconstitutional – though the Supreme Court has never issued a judgment on ...
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What consent is required for sterilization?
STATEMENT OF PERSON OBTAINING CONSENT To the best of my knowledge and belief the individual to be sterilized is at least 21 years old and appears mentally competent. He/She knowingly and voluntarily requested to be sterilized and appears to understand the nature and consequences of the procedure.
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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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