Consent form - Planned Parenthood - plannedparenthood 2025

1. Click ‘Get Form’ to open the Consent form in the editor.
2. Begin by filling in your personal details at the top, including your name, date of birth, and age. This information is crucial for identifying the patient.
3. In Part I, read through the Patient Consent Requirements carefully. Ensure you understand your rights regarding medical procedures and initial each page as required.
4. Move to Part II where you will check off the specific surgical or medical procedures that are planned. Make sure to review this section thoroughly.
5. In Part III, read about the risks and hazards associated with the procedures. Initial next to each risk after understanding them.
6. Complete Part IV by reading each statement carefully and initialing where indicated. Your signature at the bottom signifies your consent for the procedures listed.
7. If applicable, have a parent or guardian complete Part VI by initialing each page and signing where required. This must be done in front of a notary public as outlined in Part VII.

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