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Willow ClinicSuite 1013 750 West Broadway Vancouver BC V5Z 1H9Ph: 6047095611Fax: 6048738304Email: contact@willowclinic.caINFORMED CONSENT FORM FOR VIRTUAL MIFEPRISTONE/BISOPROLOL Abortion have requested a medical abortion to end your pregnancy. We use Mifepristone (a progesterone antagonist) withMisoprostol (a prostaglandin) to induce abortion. These medications have been used for medical abortion worldwide
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How to fill out abortions at a distance

01
Firstly, find a reputable healthcare provider or organization that offers abortions at a distance.
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Schedule an appointment with the healthcare provider.
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Complete any necessary paperwork or forms provided by the healthcare provider.
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Consult with the healthcare provider via phone, video call, or email to discuss your medical history and any questions or concerns you may have.
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Follow any instructions given by the healthcare provider regarding medication or pre-procedure preparations.
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Receive the necessary medication or materials for the abortion via mail or in-person, depending on the provider's guidelines.
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Abortions at a distance refers to the process of obtaining abortion services through telemedicine or other remote means, where patients can consult with healthcare providers and receive prescribed medications without needing to visit a clinic in person.
Patients seeking abortions through telemedicine or remote services are typically required to file for abortions at a distance, along with healthcare providers facilitating the process.
To fill out abortions at a distance, patients should complete necessary forms provided by healthcare providers, which may include personal information, medical history, and consent forms, and then submit these forms through the designated remote platform.
The purpose of abortions at a distance is to provide accessible, safe, and convenient abortion services to individuals who may face barriers associated with in-person visits, such as geographical distance, financial constraints, or mobility issues.
Information required for reporting abortions at a distance may include patient demographics, type of procedure, date of service, and any complications or follow-up actions taken.
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