Medical Termination of Pregnancy Rules, 2003 - FORM C - Form of consent

Email Print This Page bookmark
Font : A-A+

FORM C - Form of consent
( See rule 8 )
 
 I ___daughter/wife of ____aged about ____years of  ___( here state the permanent address) at present  residing at  ____ do  hereby  give  my  consent  to  the   termination  of  my  pregnancy  at ____
(State the name of place where the pregnancy is to be terminated)
 
Place    :
 
Date     :                                                                  
 
                                          Signature
 
 ( To be filled in by guardian where the woman is a mentally ill person or minor )
 
 I___son/daughter/wife of ___aged about ___years of ____at present residing at ( Permanent address ) ____
 
do hereby give my consent to the termination of the  pregnancy of my ward ____
 
who is a minor/lunatic at ____
 
(place of termination of my pregnancy)
 
Place:
 
Date:      
                     Signature

Post a Comment

Comments should be on the topic and should not be abusive. The editorial team reserves the right to review and moderate the comments posted on the site.
Notify me when reply is posted
I agree to the terms and conditions
rakeshjjr 

I fail to understand a few quack hasbeen punished by law till now .they are like an iceburg flourishing fluentely doing all illegal things even femal foetacide i am sure 99.9 % of foemal foetacide are done by the quacks why they are not targeted by the authorities

DrAmarenderVallala 

Pl clarify whether a BAMS graduate with the experience of 20 years in the field of maternity services is qualified to do MTP

omkarsaxena1234567 

can bams dr do mtp and delivery

robin chatterjee 

if after 20 weeks the mother comes to know that her child will be congenitally handicapped,can then she abort the child??please explain wheather the mtpa states anything for this case or not??

Medindia Newsletters

Subscribe to our Free Newsletters!

Terms & Conditions and Privacy Policy.

Find a Doctor

Stay Connected

  • Available on the Android Market
  • Available on the App Store