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POTOMAC FAMILY PLANNING CENTER Voluntary Informed Consent for Medical Abortion with and I, age, hereby give my consent to and request and authorize Earl N. McLeod, M.D., or a physician designated
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How to fill out abortion pill:

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Make sure to consult with a healthcare provider or a clinic specializing in reproductive health to ensure that the abortion pill is the appropriate option for you.
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Obtain a prescription for the abortion pill from a healthcare provider or get it from a trusted clinic.
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Familiarize yourself with the instructions provided with the abortion pill. It typically consists of two different medications: mifepristone and misoprostol.
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Take the first medication, mifepristone, under the guidance of a healthcare provider. This medication is usually taken at the clinic.
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After a certain period of time (usually 24 to 48 hours), take the second medication, misoprostol. This medication is taken at home.
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Follow the specific dosage instructions provided by your healthcare provider or the clinic when taking misoprostol. Usually, it involves placing the medication in your mouth or inserting it vaginally.
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You may experience heavy bleeding and cramping after taking misoprostol. Make sure to have a support system or someone you trust available during this time and contact your healthcare provider if you are concerned about your symptoms.
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Attend any follow-up appointments recommended by your healthcare provider to ensure that the abortion was successful and to address any concerns or questions you may have.

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Women who are faced with an unplanned pregnancy and have decided, under the guidance of a healthcare provider, that terminating the pregnancy through medication abortion is the best option for them.
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Women who are in the early stages of pregnancy, typically up to 10 weeks since the first day of their last menstrual period.
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Those who have a medical condition or contraindication that makes surgical abortion a higher risk procedure.
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Individuals who live in areas with limited access to abortion clinics or healthcare facilities offering surgical abortion procedures.
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Abortion pill is a medication that induces abortion.
Abortion pill is not filed, but it should be administered under the supervision of a healthcare provider.
There is no form to fill out for abortion pill, as it is a medication taken orally.
The purpose of abortion pill is to terminate a pregnancy.
The information regarding the dosage and administration of the abortion pill must be reported.
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