To reduce the amount of time spent at your appointment, download the appropriate FORMS, print, complete and bring them with you.
Arizona Abortion Law Requirement
You must meet with the doctor at the office at least 24 hours prior to obtaining an abortion. This law does require an extra appointment. We will also be doing a pregnancy test, an ultrasound, and checking blood type and hemoglobin for anemia. Fees for the testing services are $100 and may be collected on the day services are rendered.
At least 24 hours prior to having your abortion, you will need to review the above state mandated information about your abortion in person with the doctor.
Please be sure to read about the different methods. Once you have determined which type of abortion you plan to have, please call the office to schedule your state-mandated with the doctor.
Do not hesitate to call our office for additional information or help obtaining these forms.
NOTE: The following FORMS are made available to you online in Adobe Acrobat Reader. Please access www.adobe.com for a FREE download.
|Surgical Abortion Consent form|
|Medical Abortion Consent form|
|Health History form|
|Patient Registration form|
|Depo-Provera Consent form|
|Credit Card Authorization form|
If you are UNDER the age of 18, you must have parental consent. Please download the form, complete both pages, have it notarized and bring to your appointment:
|Minor Consent form|
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 having a 2 day procedure, you will need the following consent form instead of the surgical consent form above:
|Laminaria Consent form|
En orden para reducir el tiempo que gastas en tu cita, por favor copia las formas, grabado, complete y necessitas traer las formas contigo a tu cita.
Nota: Las formas son disponible para usted en la Internet Adobe Acrobat Reader www.adobe.com
|Consento de Informacion para Terminacion de Embarazo (Aborto)|
|Consento de Aborto Medical (Mifeprex y Misoprostol)|