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Title X Guidance Documents & Reference Resources

Guidance Documents

Reference Resources

Changes in Scope Reference Tools


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

Reference Resources

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