Medication Abortion Consent Form

May 23, 2022

Consent form to use when providing medication abortion using the evidence-based protocols.

Spanish: Updated May 2022

Chinese (Traditional and Simplified): Updated 2015

Reading Grade Level (Flesch-Kincaid Grade Level): 6.8

pdf Medication Abortion Consent Form
Also available in: Spanish, Chinese (Simplified), Chinese (Traditional)
doc Medication Abortion Consent Form
Also available in: Spanish, Chinese (Simplified), Chinese (Traditional)

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