TMPPM 2010 > Gynecological and Reproductive Health, Obstetrics, and Family Planning Services Handbook > Titles V, X, and XX Family Planning Services > Services/Benefits, Limitations and Prior Authorization > Sterilization and Sterilization-Related Procedures > Sterilization Consent

5.3.8 Sterilization and Sterilization-Related Procedures

5.3.8.1 Sterilization Consent

Per federal regulation 42 CFR 50, Subpart B, all sterilization procedures require an approved Sterilization Consent Form.

Note: Hysterectomy Acknowledgment forms are not sterilization consents.

Refer to: Form GN.6, "Sterilization Consent Form (English)" in this handbook.

Form GN.7, "Sterilization Consent Form (Spanish)" in of this handbook.

Form GN.5, "Sterilization Consent Form Instructions (2 pages)" in this handbook.