Southeastern Louisiana University Depo Provera Consent Form 2011-2025 free printable template

The Shot Demo THE FACTS What is DepoProvera? DepoProvera is an injection containing the hormone depomedroxyprogesterone acetate (MPA), which is similar to the progesterone made by a woman's ovaries.

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How to fill out Southeastern Louisiana University Depo Provera Consent Form

1. Obtain the Southeastern Louisiana University Depo Provera Consent Form from the university's health services or website.
2. Read the entire form carefully to understand the information and requirements.
3. Fill out your personal details including your name, date of birth, and contact information.
4. Provide medical history information as required, including any allergies or medications you are currently taking.
5. Sign and date the form to indicate your consent for the Depo Provera administration.
6. Submit the completed form to the designated health services office.

Who needs Southeastern Louisiana University Depo Provera Consent Form?

1. Students at Southeastern Louisiana University who wish to receive the Depo Provera birth control injection.
2. Individuals who have consulted with a healthcare provider about using Depo Provera and require consent documentation.
3. Patients who are seeking family planning services through the university's health services.

People Also Ask about louisiana depo consent shot form

What happens if you take Depo-Provera for more than 10 years?

Long-term use of Depo-Provera may cause you to lose bone mineral density, which makes you more likely to get osteoporosis.

How to get Depo-Provera for free?

And, with most insurance plans, you can get the shot for free. Yep, totally free. If you don't have health insurance or if you can't use it, your nearest Planned Parenthood health center can help you get insurance or help you find out if you qualify for a program in your area that will help pay for it.

What happens if you take Depo-Provera for more than 15 years?

The longer you are on Depo-Provera the more calcium you may lose. This increases the risk of your bones weakening if you use Depo-Provera continuously for a long time (for more than 2 years). The calcium may not return completely once you stop using Depo-Provera.

Can I inject Depo-Provera myself?

Patients can be taught to self- administer DEPO-subQ in much the same way that patients are taught to self-administer insulin and enoxaparin sodium (Lovenox). DEPO-subQ can be prescribed so that patients inject themselves at home every 3 months without needing to come into the office for their contraception method.

Is it safe to be on Depo for 10 years?

Depo-Provera CI should not be used as a long-term birth control method (i.e., longer than 2 years) unless other birth control methods are considered inadequate.

Do I need a prescription for Depo-Provera?

You'll need a prescription for Depo-Provera from your health care provider, who will likely review your medical history and possibly check your blood pressure before prescribing the drug.

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What is Southeastern Louisiana University Depo Provera Consent Form?

The Southeastern Louisiana University Depo Provera Consent Form is a document that provides informed consent for individuals receiving the Depo Provera contraceptive injection, outlining the benefits, risks, and alternative options.

Who is required to file Southeastern Louisiana University Depo Provera Consent Form?

Individuals seeking to receive the Depo Provera injection at Southeastern Louisiana University are required to fill out and file the consent form.

How to fill out Southeastern Louisiana University Depo Provera Consent Form?

To fill out the Southeastern Louisiana University Depo Provera Consent Form, individuals must provide personal information, review the information about Depo Provera, acknowledge understanding of the risks and benefits, and sign the form.

What is the purpose of Southeastern Louisiana University Depo Provera Consent Form?

The purpose of the Southeastern Louisiana University Depo Provera Consent Form is to ensure that individuals are fully informed about the contraception method, its risks, benefits, and to legally document their consent to receive the injection.

What information must be reported on Southeastern Louisiana University Depo Provera Consent Form?

The information reported on the Southeastern Louisiana University Depo Provera Consent Form includes the patient's medical history, any current medications, understanding of the Depo Provera procedure, and the patient's consent to receive the injection.