Abortion paperwork pdf 2026

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The document is a request form for an abortion in emergency situations as per Article 119 of the Swiss Penal Code. It requires personal information from the applicant, confirmation of a prior medical consultation, and signatures from both the applicant and the doctor. The form emphasizes that the applicant is unintentionally pregnant and cannot continue with the pregnancy.

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Click ‘Get Form’ to open the abortion paperwork PDF in the editor.
Begin by filling in your personal information. Enter your name, first name, street address, zip code, and place of residence in the designated fields.
Next, provide your date of birth and specify your canton. This information is crucial for processing your request.
Indicate that you are unintentionally pregnant and confirm that you are in an emergency situation by checking the appropriate box.
In the section regarding the doctor, ensure that you acknowledge having a detailed conversation with them about the procedure and health risks. This may involve initialing or signing as required.
Finally, sign and date the form at the bottom. Ensure that both you and your doctor complete their respective signatures where indicated.

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Versions	Form popularity	Fillable & printable
2021	4.6 Satisfied (47 Votes)
2021	4.9 Satisfied (48 Votes)
2021	4.8 Satisfied (94 Votes)
2020	4.2 Satisfied (27 Votes)
2019	4.8 Satisfied (35 Votes)
2018	4.5 Satisfied (47 Votes)
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2016	4.1 Satisfied (60 Votes)
2016	4.6 Satisfied (33 Votes)
2016	4.8 Satisfied (119 Votes)
2016	4.5 Satisfied (44 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How long does grief last after an abortion?

Experiencing grief is a normal emotion after abortion Grief is different for everyone. There is no set time frame, although most patients tell us that after a couple of weeks they feel pretty much back to normal.

Is it normal to cry before an abortion?

Mixed emotions before and after an abortion are normal. Some people experience relief, while others may feel sadness, guilt, or anxiety. These feelings are normal responses to docHub life events.

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