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Requirements for getting tubes tied in florida

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The document is a sterilization consent form from the State of Florida, outlining the individual's rights and understanding regarding the sterilization procedure. It emphasizes that the decision to undergo sterilization is voluntary, permanent, and will not affect eligibility for federally funded benefits. The form includes information about alternative birth control methods, risks, and benefits associated with sterilization, as well as provisions for consent withdrawal. It requires signatures from both the individual consenting to sterilization and the physician performing the procedure.

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How long is a sterilization consent good for?

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. Private Pay patients may request in writing that procedure be performed in less than 30 days.

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.

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.

How long is a consent form valid?

Sterilization is intended to be permanent. People who may want more children should choose a different family planning method. Surgery to reverse sterilization is possible for only some womenthose who have enough fallopian tube left. Even among these women, reversal often does not lead to pregnancy.

What is the sterilization form?

In 1974, the federal sterilization consent form (SCF) was created for those with publicly funded insurance to document appropriate informed consent by a clinician for sterilization procedures.