Get Consent For Sterilization: Form Hhs-687 - Kmap

This guide will provide you with a step-by-step process for completing the Consent For Sterilization: Form HHS-687 - KMAP online. By following these instructions, you can ensure that your form is filled out accurately and efficiently.

Follow the steps to successfully complete the online form.

1. Press the ‘Get Form’ button to access the Consent For Sterilization: Form HHS-687 - KMAP and open it in your preferred editor.
2. Start by entering the name of the person obtaining consent under the 'Statement of person obtaining consent' section.
3. Fill in your personal information, including the name of the doctor or clinic providing information about sterilization. Be sure to indicate that the decision is entirely yours.
4. Clearly state your understanding of the consequences of sterilization, emphasizing that it is permanent and irreversible.
5. Specify the type of operation you will undergo for sterilization and provide details about the associated risks, benefits, and discomforts. Ensure all your questions have been answered satisfactorily.
6. Acknowledge that the operation will not take place until at least 30 days after signing the form, and that you can change your mind at any time.
7. Provide your date of birth and confirm that you are at least 21 years of age.
8. Sign the form to indicate your consent, ensuring you understand your rights and the confidentiality of your information.
9. Complete the optional section for race and ethnicity designation if you wish, but note that it is not required.
10. If applicable, have an interpreter complete their section and sign it appropriately, ensuring the individual understands the form.
11. Finally, ensure that the physician's statement is filled out, including their signature and the date of sterilization.
12. Once all sections are complete, you can choose to save the changes, download, print, or share the form as needed.

Take the first step towards completing your sterilization consent form online today.