PDF
Word
Form HFS1977 Acknowledgement of Receipt of Hysterectomy Information - Illinois
What Is Form HFS1977?
This is a legal form that was released by the Illinois Department of Healthcare and Family Services - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form HFS1977?
A: Form HFS1977 is the Acknowledgement of Receipt of Hysterectomy Information form.
Q: What is the purpose of Form HFS1977?
A: The purpose of Form HFS1977 is to acknowledge the receipt of information regarding the risks, benefits, and alternatives to a hysterectomy procedure.
Q: Who needs to fill out Form HFS1977?
A: Form HFS1977 needs to be filled out by any patient who is scheduled to undergo a hysterectomy procedure in the state of Illinois.
Q: What information is included in Form HFS1977?
A: Form HFS1977 includes information about the risks and benefits of hysterectomy, as well as alternative treatments that may be available.
Q: How should Form HFS1977 be filled out?
A: Form HFS1977 should be filled out completely and accurately, and the patient must sign and date the form to acknowledge receipt of the information.
Form Details:
- Released on December 1, 2009;
- The latest edition provided by the Illinois Department of Healthcare and Family Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form HFS1977 by clicking the link below or browse more documents and templates provided by the Illinois Department of Healthcare and Family Services.
