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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.
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