Get Hfs 2189 R 7 06

This guide provides clear instructions on how to fill out the Hfs 2189 R 7 06 form online. Whether you are familiar with digital forms or new to the process, you will find step-by-step guidance tailored to your needs.

Follow the steps to complete the Hfs 2189 R 7 06 form online.

1. To obtain the form, click the 'Get Form' button to open it in your preferred editing tool.
2. Begin filling out the first section where you will need to provide the name of the person obtaining consent and the doctor's name or the clinic from which you received information about sterilization.
3. Indicate your understanding of sterilization by checking the appropriate boxes and filling in your birth date to confirm that you are at least 21 years old.
4. In this section, write down the method of sterilization you are consenting to and ensure it is clearly stated.
5. Review the explanation regarding the permanence of the procedure, the risks, and benefits associated with it. It is essential to ensure you understand all aspects and that your questions have been adequately answered.
6. Provide the date of your signature and ensure you understand that your consent expires 180 days from this date.
7. Complete additional sections about race and ethnicity if you choose to provide this information, but remember it is not mandatory.
8. If an interpreter assisted you, fill out the interpreter's statement section, ensuring their signature and the date are included.
9. Finally, if you have a physician's statement section to complete, have the physician fill in their signature and date to validate consent.
10. Once you have completed all necessary sections, you can save the changes, download, print, or share the form as needed.

Complete your forms online with confidence and clarity.