Get Sd Dss-ms-146 2011-2025

The SD DSS-MS-146 is a crucial form for individuals seeking sterilization under Medicaid. This guide provides step-by-step instructions for completing the form online to ensure clarity and compliance with federal requirements.

Follow the steps to fill out the SD DSS-MS-146 accurately.

1. Press the ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. In the consent section, write the name of the doctor or clinic from which you received information about sterilization.
3. Indicate your decision regarding sterilization, ensuring you understand that it is a permanent procedure.
4. Specify the method of sterilization you are consenting to, clearly detailing the operation type.
5. Provide your date of birth in the format Month/Day/Year.
6. Sign the form using your full name and date the signature.
7. If applicable, have an interpreter complete the interpreter's statement section. Include their name and the language used for interpretation.
8. The person obtaining consent must fill out their details, including the recipient's name and the type of surgery, then sign and date the form.
9. Finally, the physician must complete their statement section after the surgery, noting the date and type of surgery performed. They should also provide their signature and date.
10. Review the completed form for accuracy. Once satisfied, users can save changes, download, print, or share the form as necessary.

Complete the SD DSS-MS-146 online to ensure your sterilization consent is properly documented.