Pre-Natal Diagnostic Techniques Amendment Rules, 2003 - Form G

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FORM G

[See Rule 10]

FORM OF CONSENT

(For invasive techniques)

             I, ………………………………… wife/daughter of ……………………………. Age ……… years residing at ……………………………………….. hereby state that I have been explained fully the probable side effects and after effects of the pre-natal diagnostic procedures. 

 I wish to undergo the preimplantation/pre-natal diagnostic technique/test/procedures in my own interest to find out the possibility of any abnormality (i.e. disease/deformity/disorder) in the child I am carrying.

I undertake not to terminate the pregnancy if the pre-natal procedure/technique/test conducted show the absence of disease/deformity/disorder.

I understand that the sex of the foetus will not be disclosed to me.

I understand that breach of this undertaking will make me liable to penalty as prescribed in the Pre-natal Diagnostic Techniques (Regulation and Prevention of Misuse) Act, 1994 (57 of 1994) and rules framed thereunder.

Date                                           Signature of the pregnant woman.

Place

            I have explained the contents of the above to the patient and her companion (Name …………………………………….. Address ……………………………. Relationship ………………..) in a language she/they understand.

 
Name, Signature and/Registration number of
Gynaecologist/Medical Geneticist/Radiologist/Paediatrician/
Director of the Clinic/Centre/Laboratory

 

 Date                                                Name, Address and Registration number of 
                                                                                                  Genetic  Clinic/Institute

 

                                                                       

SEAL

 

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ROXYY 

i want to know about an ultrasound technician, having a B.Sc. degree in imaging technology can perform and open his own clinic if no then what will the work of skilled sonographer/technician.

Dr.V.Amarendra 

I am a PG diploma holder in Anaesthesiology. Am I eligible to register for a scan centre.Dr V. Amarender

ray74 

I AM A BHMS{bachelor in homoeopathic medicine and surgery) DOCTOR HAVING INTERNSHIP FROM ALLOPATHIC SUBDIVISIONAL HOSPITAL.
WHEATHER I AM ELLIGIBLE TO MAKE A USG REPORT INDIPENDENTLY AFTER ONE YR TRAINING FROM SUBDIVISIONAL HOSPITAL ON USG ?
PLEASE INFORME ME .

bindal 

I want to know the latest rule about immobilsing the usg machines. wheather it is applicable for stand alone diagnostic centres only or for clinics and nursing homes also.
Dr. Rajesh

drzadbuke 

I would like to know that for USG -MD (gync&obgy)dr. needs experience or traning certificate ?

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