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Get SD DSS-MS-146 1989

AM OF PROJECTS RECEIVING FEDERAL FUNDS. â–  CONSENT TO STERILIZATION â–  â–  STATEMENT OF PERSON OBTAINING CONSENT â–  I have asked for and received information about sterilization from _________________________________. When I first asked for the (Doctor or Clinic) information, I was told that the decision to be sterilized is completely up to me. I was told that I could decide not to be sterilized. If I decide not to be sterilized, my decision will not affect my right to future care or treatm.

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Keywords relevant to SD DSS-MS-146

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  • applicable
  • reversible
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  • sterilization
  • counseled
  • orally
  • sterilized
  • medicaid
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