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Form 193 Alabama Medicaid Agency Sterilization Consent Form - Alabama
What Is Form 193?
This is a legal form that was released by the Alabama Medicaid Agency - a government authority operating within Alabama. Check the official instructions before completing and submitting the form.
FAQ
Q: What is the Form 193?
A: Form 193 is the Alabama Medicaid Agency Sterilization Consent Form.
Q: What is the purpose of Form 193?
A: The purpose of Form 193 is to provide consent for sterilization procedures for Medicaid recipients in Alabama.
Q: Who needs to fill out Form 193?
A: Medicaid recipients in Alabama who are seeking sterilization procedures need to fill out Form 193.
Q: Is Form 193 mandatory?
A: Yes, Form 193 is mandatory for Medicaid recipients in Alabama who wish to undergo sterilization procedures.
Q: Are there any requirements for completing Form 193?
A: Yes, there are specific requirements outlined in Form 193 that must be met in order for the consent to be valid.
Q: Can I revoke my consent after signing Form 193?
A: No, once you provide consent on Form 193, it cannot be revoked.
Q: Who should I contact for more information about Form 193?
A: For more information about Form 193, you can contact the Alabama Medicaid Agency or consult with a healthcare provider.
Form Details:
- Released on September 26, 2016;
- The latest edition provided by the Alabama Medicaid Agency;
- 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 193 by clicking the link below or browse more documents and templates provided by the Alabama Medicaid Agency.
