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Sterilization is a form of contraception (birth control) that is meant to be permanent.

Sterilization Consent Form

This form allows an individual to provide consent for sterilization. Statements are also included for an interpreter, a person obtaining consent, and a physician. The form begins with a cover page describing the purpose of the form and its expiration date.  The form is available in English, in Spanish, and in large-print versions.

Large-Print Version

Content created by Office of Population Affairs
Content last reviewed on December 6, 2019