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Camelback Family PlanningGabrielle Goodrick MD Mifeprex free printable template

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Camelback Family Planning/Gabrielle Goodrich, M.D. and Abortion Consent Form I, hereby give permission for Gabrielle Goodrich, M.D. or designated provider to perform a nonsurgical/medical abortion
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How to fill out Camelback Family Planning/Gabrielle Goodrick MD Mifeprex and

01
Obtain the Mifeprex medication from Camelback Family Planning.
02
Read the provided instructions carefully before starting the process.
03
Take the first dose of Mifeprex in the presence of a healthcare provider or as instructed.
04
After 24 to 48 hours, take the second medication (Misoprostol) at home as directed.
05
Follow up with your healthcare provider within a week to ensure the procedure is complete.

Who needs Camelback Family Planning/Gabrielle Goodrick MD Mifeprex and?

01
Individuals who are in the early stages of pregnancy and wish to terminate it.
02
Women seeking a non-surgical method for abortion.
03
Those who have confirmed their pregnancy and meet the medical criteria for using Mifeprex.
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Camelback Family Planning, led by Dr. Gabrielle Goodrick, provides reproductive health services, including the medical abortion pill Mifeprex, which is used in a medical abortion procedure.
Healthcare providers who prescribe Mifeprex as part of a medical abortion are required to file the necessary documentation with applicable health authorities.
Filling out the documentation for Mifeprex involves completing the required forms accurately, including patient information, dosage details, and adherence to the legal guidelines provided by health authorities.
The purpose of Camelback Family Planning and Mifeprex is to provide safe and confidential reproductive health services, enabling individuals to make informed choices regarding unplanned pregnancies.
Information that must be reported includes patient demographics, medical history, the date of the procedure, and any complications or follow-up care required following the administration of Mifeprex.
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