Mifepristone Distributor Patient Agreement
Here you can link to the GenBioPro (generic) and Danco (branded, Mifeprex) forms clinicians need to use when providing mifepristone for medication abortion or early pregnancy loss.
GenBioPro Patient Agreement- English
GenBioPro Patient Agreement- Spanish
GenBioPro Patient Agreement- Chinese (Simplified)
GenBioPro Patient Agreement- Chinese (Traditional)
GenBioPro Patient Agreement- Vietnamese
GenBioPro Patient Agreement- French
GenBioPro Patient Agreement- Haitian
GenBioPro Patient Agreement- Russian
Danco Patient Agreement- English
Danco Patient Agreement Form-Spanish
Danco Patient Agreement Form-Arabic
Danco Patient Agreement Form-Chinese Traditional
Danco Patient Agreement Form-French
Danco Patient Agreement Haitian Creole
