Scribd Logo
Upload

Welcome to Scribd!

  • 7K views

    MTP Form C

    Uploaded by

    brijmohan
    A consent form for termination of pregnancy was signed by a woman and her guardian. The woman, aged about [number] years, consented to termination of her pregnancy at a specified location and date. Where the woman is a minor or mentally ill, her guardian also signed consenting to termination of the pregnancy of his ward at the specified location. Both parties signed with their details and dated the consent form.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content

    You might also like

    MTP Form C

    Uploaded by

    brijmohan
    7K views1 page
    A consent form for termination of pregnancy was signed by a woman and her guardian. The woman, aged about [number] years, consented to termination of her pregnancy at a specified location and date. Where the woman is a minor or mentally ill, her guardian also signed consenting to termination of the pregnancy of his ward at the specified location. Both parties signed with their details and dated the consent form.

    Original Description:

    mtp formt as per rule

    Original Title

    MTP FORM C

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    A consent form for termination of pregnancy was signed by a woman and her guardian. The woman, aged about [number] years, consented to termination of her pregnancy at a specified location and date. Where the woman is a minor or mentally ill, her guardian also signed consenting to termination of the pregnancy of his ward at the specified location. Both parties signed with their details and dated the consent form.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    7K views1 page

    MTP Form C

    Uploaded by

    brijmohan
    A consent form for termination of pregnancy was signed by a woman and her guardian. The woman, aged about [number] years, consented to termination of her pregnancy at a specified location and date. Where the woman is a minor or mentally ill, her guardian also signed consenting to termination of the pregnancy of his ward at the specified location. Both parties signed with their details and dated the consent form.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    Annexure 1.

    1
    CONSENT FORM
    FORM C
    (Refer Rule 9 MTP Rules, 2003)
    I

    -----------------------------------------------

    daughter/wife----------------------------------------------aged

    about -------- years at present residing at ------------------------------------------------------------------------do hereby give my consent to termination of my pregnancy at ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------

    Place --------------------------------------Date ---------------------------------------Signature

    ( To be filled in by guardian where the woman is a mentally ill person or a minor)

    I --------------------------------------------------------- son/daughter/wife of----------------------------------------aged about ---------------------------------- years, at present residing at ------------------------------------------------------------------------------------------------------------------give my consent to the termination of
    the pregnancy of my ward ------------------------------------------------------------------- who is a minor
    /mentally ill person at --------------------------------------------------------------------------------------------------

    Place --------------------------------------Date ---------------------------------------Signature

    You might also like