In order to reduce the amount of time spent at your appointment, please download the appropriate forms, print, complete and bring them with you.
A new law was passed in Arizona that
requires you to review certain information at least 24 hours
prior to obtaining an abortion. We
have attempted to make this process as simple and efficient
as possible by providing the information online. This law
does not require an extra appointment. You will need to complete
the following steps prior to having the procedure:
1. At least 24 hours prior to having your abortion, you will
need to review certain state-mandated information about your
abortion. At Camelback Family Planning, we offer the Abortion
Pill (Medical Abortion/RU 486) or surgical abortion. Please
be sure to read about the different methods. Once you have
determined which type of abortion you plan to have, please
click
here to read the state-mandated information if you
are going to have a medical abortion, or click
here to read the state-mandated information if you
plan to have a surgical abortion.
2. After you have read through all the materials, you will
need to sign and date the Certification Form before having
the procedure. You can download the "Certification
Form" by clicking here. This form confirms that
you have reviewed all of the required materials. If you don’t
have a printer or would rather not print and sign the form
at home, you may sign this form when you come to the office
for your abortion, as long as you have reviewed the materials
at least 24 hours before the procedure takes place.
Please feel free to call our office at any time if you have
any questions regarding your care. You will have an opportunity
to ask Dr. Goodrick and the staff any additional questions
on the day of your procedure.
NOTE: The following forms are made available to you online
in Adobe Acrobat Reader. Please access www.adobe.com
for a FREE download.
If you are under the age of 18, you must have parental consent. Please download the form, have it completed and bring to your appointment:
If you feel you cannot tell your parent or guardian, you will need a judicial bypass. Please call the office so we can help you.
If you are over 14 weeks, these forms might be needed (call office to see):
Please do not hesitate to call our office for additional information or help obtaining these forms.
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