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Get AL Medical Emergency Abortion Form

E that you have been provided all the information you need to make a fully informed decision. Please complete the form truthfully and accurately. CERTIFICATION OF RECEIPT OF ABORTION INFORMATION I certify that I have received the printed materials entitled “Did You Know” and “Alabama’s Resource Directory For Women, Children and Families” by mail on _____________ and again in person on _____________. (date) (date) OR only in person on ______________. (date) I understand that Alabama.

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