§23-4.7-5  Consent Form. –

Published: 2015

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Health and Safety

CHAPTER 23-4.7

Informed Consent for Abortion

SECTION 23-4.7-5

   § 23-4.7-5  Consent form. –

(a) The woman's written consent required by § 23-4.7-2 shall be on a form

provided by the physician or facility and containing:

   (1) The disclosures required by § 23-4.7-3; and

   (2) The woman's acknowledgment that either the physician who

is to perform the abortion or his or her authorized agent or another physician

or his or her authorized agent has provided her with the information required

by § 23-4.7-3.

   (b)(1) The form shall in addition include the following

statement: "If you decide to carry your pregnancy to term but not to keep the

child, you may be able to place the child with either a relative, or with

another family through foster care or adoption."

   (2) The person making the disclosures required under §

23-4.7-3 shall not be required to state anything with respect to the contents

of subdivision (1) of this subsection.

   (c) In cases where the woman does not understand English,

either the consent form shall be written in a language understood by her, or

the person informing her shall certify on the consent form that in his or her

opinion, the information required to be given by § 23-4.7-3 has been given

in a manner as to be understandable by her; if an interpreter is used, the

interpreter shall be named and reference to that use shall be made on the

consent form.

   (d) A copy of the form shall be made available to the woman

upon her request.

History of Section.

(P.L. 1982, ch. 323, § 2.)