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SECURE EMAIL TO: NM DEPT. OF HEALTH FAMILY PLANNING PROGRAM STERILIZATION TEAM PHONE NUMBER: (505) 4768882 FAMILY PLANNING PROGRAM STERILIZATION REQUEST FORM CLIENT INFORMATION1. Name (Last, First,
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How to fill out family planning program sterilization

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How to fill out family planning program sterilization

01
Consult with a healthcare provider to discuss the option of sterilization as a form of contraception.
02
Provide necessary information about your medical history, reproductive health, and reasons for considering sterilization.
03
Understand the risks and benefits associated with the procedure.
04
Complete any required consent forms and paperwork.
05
Schedule the sterilization procedure with a qualified healthcare provider.
06
Follow pre-procedure instructions provided by the healthcare provider.
07
Recover post-procedure and follow-up with the healthcare provider as needed.

Who needs family planning program sterilization?

01
Individuals or couples who have completed their desired family size and are looking for a permanent form of contraception.
02
Individuals with medical conditions or factors that make other forms of contraception less effective or suitable.
03
Individuals who have made an informed decision after considering all other contraceptive options.
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Family planning program sterilization is a method of permanent birth control through surgical procedures.
Healthcare providers and facilities that perform sterilization procedures are required to file family planning program sterilization forms.
Family planning program sterilization forms can be filled out online or submitted in person at the designated department.
The purpose of family planning program sterilization is to provide individuals with a permanent form of birth control.
Information such as patient demographics, procedure details, and provider information must be reported on family planning program sterilization forms.
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