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The
State of Ohio requires that certain information be made
available to women seeking abortions at least 24 hours
prior to their procedure.
This information will eventually be available online on
a State of Ohio website. Until then, you may obtain this
information through our facility or by clicking the link
below.
NOTE: The following form is made available
to you online in Adobe Acrobat Reader. Please access www.adobe.com
for a FREE download.
Consent Form #1 -- "Woman's Right To
Know Documentation" CLICK
HERE
You will need to read this form and acknowledge that you
have read the form to make an appointment. This is required
to verify that you were given this information at least
24 hours before the procedure.
The State of Ohio does not have these materials online
or in written form as of the effective date of the bill.
Consent Form #2: A consent form which
certifies that you are terminating your pregnancy freely
and without coercion. It details the possible risks and
complications associated with the abortion procedure and
anesthesia type; the gestational age of the fetus documented
by ultrasound; the name of the physician/facility where
the termination will take place and all other associated
risks of a voluntary/elective surgical procedure.
You will receive this form at the Cleveland Women’s Medical
Group the day of your appointment. If you have any questions
about this requirement, please call us at (800) 224-2660.
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2005-2009 Cleveland Women's Medical Group All Rights Reserved. |
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Surgi-Center Inc. | Pearl Road Health Center, 4269 Pearl Road, Suite 406,
Cleveland, OH 4109 | 216-912-0676 | 866-837-9213 |