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Consent for Sterilization: Form HHS-687

ICR 201810-0937-003 · OMB 0937-0166 · Object 87038901.

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Consent for Sterilization: Form HHS-687
This form allows an individual to provide consent for sterilization. Statements are also included for an interpreter, a person o
U.S. Department of Health & Human Services
2021-01-20
partial