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NORTHLAND FAMILY PLANNING CENTERS/CLINICS Patient Name ___ CONSENT FOR ABORTION, ANESTHETIC AND OTHER MEDICAL SERVICES, INCLUDING CONSENT FOR ADMINISTRATION OF ANESTHESIA PLEASE COMPLETE THE FORM
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Research and locate the nearest abortion clinics in Connecticut.
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Women facing unplanned or unwanted pregnancies in Connecticut may need the services of abortion clinics.
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Connecticut's abortion clinics are facilities where women can seek abortion services.
Healthcare providers who perform abortions in Connecticut are required to file reports with the state.
Healthcare providers must fill out the required forms with information such as the number of abortions performed, patient demographics, and any complications.
The purpose of Connecticut's abortion clinics is to provide safe and legal abortion services to women.
Information such as the number of abortions performed, patient age, race, and ethnicity, gestational age of the fetus, and any complications must be reported.
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