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Nova Scotia Women's Choice Clinic REFERRAL FORMTelephone: (902) 4732362Fax: (902) 4738468Date (YYYYMMDD): Medical Abortion Surgical AbortionName:, Last Undecided FirstMiddleHCN: Expiry: DOB (YYYYMMDD):

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How to fill out nova scotia womens choice

01

Obtain the Nova Scotia Women's Choice form from the official website or a local government office.

02

Read the instructions carefully to understand the requirements and purpose of the form.

03

Gather all the necessary information and documents needed to fill out the form. This may include personal identification, medical records, and any supporting documentation.

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Start by providing your personal details such as full name, date of birth, and contact information.

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Fill in the specific sections related to the purpose of the form, which may involve indicating your choice or preference regarding a women's health issue in Nova Scotia.

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Make a copy of the completed form for your records before submitting it to the designated authority or address mentioned in the form.

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Wait for confirmation or further instructions regarding the processing of your Nova Scotia Women's Choice form.

Who needs nova scotia womens choice?

01

Anyone who is a resident of Nova Scotia and is facing a women's health issue or making a choice related to women's health in the province may need to fill out the Nova Scotia Women's Choice form. The specific requirements and eligibility criteria may vary depending on the purpose of the form. It is recommended to refer to the official guidelines or consult with relevant authorities to determine if the form is applicable to your situation.

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