Indiana medicaid sterilization consent form 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in your personal information, including your name and date of birth. Ensure that all details are accurate as this is crucial for processing.
3. In the section titled 'Consent to Sterilization', read through the provided information carefully. This section outlines your rights and the nature of the procedure. Confirm your understanding by checking the appropriate boxes.
4. Specify the type of operation you will undergo in the designated fields. This is important for clarity regarding the procedure.
5. If applicable, complete the interpreter's statement if an interpreter assisted you during this process. Ensure their signature is included.
6. Finally, sign and date the form at the bottom. Make sure to keep a copy for your records, which can be easily done using our platform.

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