PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
the document
for the current year.
Family Planning Program Sterilization Request Form - New Mexico
Family Planning Program Sterilization Request Form is a legal document that was released by the New Mexico Department of Health - a government authority operating within New Mexico.
FAQ
Q: What is the Family Planning Program Sterilization Request Form?A: The Family Planning Program Sterilization Request Form is a form used in New Mexico to request sterilization services through the Family Planning Program.
Q: Who can use the Family Planning Program Sterilization Request Form?A: Any individual who is interested in undergoing sterilization procedures can use the Family Planning Program Sterilization Request Form.
Q: What is the purpose of the form?A: The purpose of the form is to request sterilization services through the Family Planning Program.
Q: What information is required on the form?A: The form will ask for your personal information, medical history, and the specific sterilization procedure you are requesting.
Q: Is there a cost for using the Family Planning Program Sterilization Request Form?A: The cost of sterilization services through the Family Planning Program may vary. It is best to contact the program or your healthcare provider for information about costs.
Q: Is the Family Planning Program Sterilization Request Form confidential?A: Yes, the information provided on the form is confidential and protected by privacy laws.
Q: How long does it take for the sterilization request to be processed?A: The processing time may vary. It is recommended to contact the Family Planning Program or your healthcare provider for more information.
Q: Can I change my mind after submitting the sterilization request?A: Yes, you can change your mind at any time before the sterilization procedure is performed. It is important to communicate any changes to the Family Planning Program or your healthcare provider.
Q: Are there any age restrictions for using the Family Planning Program Sterilization Request Form?A: In New Mexico, there are no age restrictions for requesting sterilization services through the Family Planning Program. However, individuals under 18 years of age may require additional consent from a parent or legal guardian.
Form Details:
- Released on August 1, 2018;
- The latest edition currently provided by the New Mexico Department of Health;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of the form by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the New Mexico Department of Health.
