Sterilization Consent Form PM330 - My Doctor Online The ... - mydoctor kaiserpermanente 2025

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0:09 1:12 From here write a subject. And then your message. If youd like to send an image just click on theMoreFrom here write a subject. And then your message. If youd like to send an image just click on the plus sign under attachments.
You have a couple of ways to access the message center in your kp.org account: From the kp.org home page: Click on Send a message which can be found under Get care. Or click on Appointments Care in the top menu. Under Messaging, select Send a message.
Greeting: Start with a polite greeting, addressing the doctor by their title (eg, ``Dear Dr. Smith). Be Concise: Get to the point quickly. Clearly state your reason for writing without unnecessary detail. Be Respectful of Their Time: Acknowledge that doctors have busy schedules.
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.
From the kp.org home page: Click on Send a message which can be found under Get care. Or click on Appointments Care in the top menu. Under Messaging, select Send a message.
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People also ask

Removal of Fallopian Tubes If CPT codes 58661 and 58700 are elective sterilization procedures, there is no TAR requirement. Consent Form (PM 330) remains a requirement in elective sterilization procedures.
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.