Early Medical Abortion Consent CHA3277 Procedure specific consent form for early medical abortionUpdated 992013 - rcht nhs 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by affixing your patient label in the designated area at the top of the form. This ensures that your information is correctly linked to your medical records.
3. Fill in your personal details, including NHS number, name, address, and date of birth. Ensure all information is accurate to avoid any delays.
4. Review the statement of health professional section. This part will be filled out by a qualified health professional who will explain the procedure and its risks to you.
5. Read through the statement of patient carefully. Confirm your understanding of the procedure and any associated risks before signing. You have the right to ask questions at this stage.
6. If applicable, have a witness sign below your signature if you are unable to sign yourself. This may include a parent or guardian for younger patients.
7. Finally, ensure you receive a copy of this consent form along with any additional patient information leaflets for your records.

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