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Dieses Formular bleibt in der Krankengeschichte des Operateurs der Operateurin 2026
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How to use or fill out Dieses Formular bleibt in der Krankengeschichte des Operateurs der Operateurin
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your personal information in the designated fields: Name, Vorname (First Name), Strasse (Street), PLZ / Ort (Postal Code / City), and Geburtsdatum (Date of Birth). Ensure all details are accurate for proper processing.
- Indicate your current situation by confirming that you are ungewollt schwanger (unintentionally pregnant) and that you find yourself in a Notlage (emergency situation) where you cannot carry the pregnancy to term.
- Acknowledge that the physician has conducted an in-depth conversation with you, provided personal counseling, informed you about health risks associated with the procedure, and handed over the relevant guidelines from the Kantonsarztamt.
- Fill in the Ort und Datum (Place and Date) before signing as the applicant. This confirms your request for a pregnancy termination.
- Ensure that a medical professional completes their section by providing their signature and confirming prior consultation details.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2018 | 4.4 Satisfied (34 Votes) |
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