Manual Vacuum Aspiration Consent Form
A consent form that can be used when providing manual vacuum aspiration (MVA) for abortion or as treatment for an early pregnancy loss, a failed medication abortion, or for abnormal uterine bleeding.
Spanish: Updated 2022
Chinese (Simplified and Traditional): Updated 2015
Reading Grade Level (Flesch-Kincaid Grade Level): 9.9
Downloads
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pdf
MVA Consent Form
Also available in: Chinese (Simplified), Chinese (Traditional), Spanish -
doc
MVA Consent Form
Also available in: Chinese (Simplified), Chinese (Traditional), Spanish