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Medicaid hysterectomy form

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The document is an Alabama Medicaid Agency Hysterectomy Consent Form, which includes sections for physician certification, patient acknowledgment, unusual circumstances, and state review decision. It outlines the necessary information and procedures for obtaining consent for a hysterectomy, including the requirement for both oral and written explanations regarding the permanent inability to reproduce post-surgery. The form also details submission instructions and specific conditions under which different parts of the form must be completed.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (41 Votes)
2016	1 Satisfied (18519 Votes)

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