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NORTH DAKOTA DEPARTMENT OF HEALTH Family Planning Program CONSENT FOR INTRAUTERINE DEVICE (IUD) Name Chart No. I choose the intrauterine device (IUD) as my method of birth control and give permission

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What is consent for intrauterine device?

Consent for intrauterine device is a form signed by a patient consenting to the insertion of an intrauterine device as a form of birth control.

Who is required to file consent for intrauterine device?

The patient who will be receiving the intrauterine device is required to file the consent form.

How to fill out consent for intrauterine device?

The consent form for an intrauterine device must be filled out by providing personal information, signing the form, and dating it.

What is the purpose of consent for intrauterine device?

The purpose of the consent form is to ensure that the patient understands the risks and benefits of getting an intrauterine device inserted.

What information must be reported on consent for intrauterine device?

The consent form must include the patient's personal information, the type of intrauterine device being inserted, and any potential risks or side effects.

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