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Instructions for Form MED-178 Sterilization Consent Form - Colorado
This document contains official instructions for Form MED-178 , Sterilization Consent Form - a form released and collected by the Colorado Department of Public Health and Environment.
FAQ
Q: What is Form MED-178?
A: Form MED-178 is the Sterilization Consent Form for the state of Colorado.
Q: What is the purpose of Form MED-178?
A: Form MED-178 is used to obtain consent for sterilization procedures in Colorado.
Q: Who needs to fill out Form MED-178?
A: Any individual who wishes to undergo a sterilization procedure in Colorado needs to fill out Form MED-178.
Q: What information is required on Form MED-178?
A: Form MED-178 requires personal information of the individual receiving the sterilization, details of the proposed sterilization procedure, and the signature of the individual and witnesses.
Q: Are there any age restrictions for consenting to sterilization?
A: Yes, individuals must be at least 21 years old or have already had at least one child to give consent for sterilization in Colorado.
Q: Is there a waiting period after signing Form MED-178?
A: Yes, there is a 30-day waiting period after signing Form MED-178 before the sterilization procedure can take place.
Q: Can Form MED-178 be revoked?
A: Yes, the individual can revoke their consent at any time before the sterilization procedure is performed.
Q: Who can provide additional information about Form MED-178?
A: For additional information about Form MED-178, you can contact the Colorado Department of Public Health and Environment or consult a healthcare professional.
Instruction Details:
- This 3-page document is available for download in PDF;
- Actual and applicable for the current year;
- Complete, printable, and free.
Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the Colorado Department of Public Health and Environment.
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