Form HHS-687-1 Consent for Sterilization - Utah (English / Spanish)

What Is Form HHS-687-1?

This is a legal form that was released by the Utah Department of Health and Human Services - a government authority operating within Utah. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form HHS-687-1?
A: Form HHS-687-1 is a consent form for sterilization in the state of Utah.

Q: Who needs to fill out Form HHS-687-1?
A: Anyone seeking sterilization in Utah needs to fill out Form HHS-687-1.

Q: Is Form HHS-687-1 available in both English and Spanish?
A: Yes, Form HHS-687-1 is available in both English and Spanish.

Q: Do I need to have Form HHS-687-1 notarized?
A: Yes, Form HHS-687-1 needs to be notarized.

Q: Are there any age restrictions for filling out Form HHS-687-1?
A: There are no specific age restrictions mentioned on Form HHS-687-1.

Q: Can I get a copy of Form HHS-687-1?
A: Yes, you can request a copy of Form HHS-687-1 from the institution or healthcare provider performing the sterilization procedure.

Q: Is Form HHS-687-1 specific to Utah only?
A: Form HHS-687-1 is specific to Utah and may have different versions for other states.

Q: Is there a fee for submitting Form HHS-687-1?
A: There is no specific fee mentioned on Form HHS-687-1, but there may be associated costs with the sterilization procedure itself.

Q: What information is required on Form HHS-687-1?
A: Form HHS-687-1 requires personal information, information about the sterilization procedure, and the signatures of the individual seeking sterilization and the witness.