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Form 138 Family Planning Services Consent Form - Alabama
What Is Form 138?
This is a legal form that was released by the Alabama Medicaid Agency - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 138?
A: Form 138 is the Family Planning Services Consent Form.
Q: Why is Form 138 used?
A: Form 138 is used to obtain consent for family planning services in Alabama.
Q: Who needs to fill out Form 138?
A: Any individual seeking family planning services in Alabama needs to fill out Form 138.
Q: What information is required on Form 138?
A: Form 138 requires personal information such as name, contact information, and consent for specific family planning services.
Q: Is Form 138 confidential?
A: Yes, the information provided on Form 138 is kept confidential.
Q: Can a minor fill out Form 138 without parental consent?
A: Yes, in Alabama, minors can consent to family planning services without parental consent.
Q: Are there any fees associated with submitting Form 138?
A: Fees may vary depending on the specific family planning services being sought.
Q: Can I refuse to fill out Form 138?
A: Yes, it is your right to refuse to fill out Form 138.
Q: Is Form 138 only applicable in Alabama?
A: Yes, Form 138 is specific to Alabama and its family planning services.
Form Details:
- Released on October 1, 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 printable version of Form 138 by clicking the link below or browse more documents and templates provided by the Alabama Medicaid Agency.
