Pre-Natal Diagnostic Techniques Rules, 1996 - FORM G

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FORM G - FORM OF CONSENT

[See Rule 10]

              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 pre-natal diagnostic procedures in my interest to find out the possibility of any abnormality (i.e. deformity or disorder) in the child I am carrying.

             I undertake not to terminate the pregnancy if the pre-natal procedure and any pre-natal tests conducted show the absence of deformity or disorders. 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).

 
Signature
 
Date                                                                                                   

Place

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

 

                     Name, Signature and/Registration number of Gynaecologist

Date

                         Name, Address and Registration number
                         of Genetic Clinic


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pankajtver76 

What is the provision under PC PNDT ACT for Doctors who is exclusively doing Echocardiography only: 1. Whether they also required PNDT Registration for Echocardiography. 2. And what about six months ultrasound training program for such Doctors [while six months training program is focusing on abdominal and pelvic region only]. In this condition how this training program is going to be beneficial for them. And is it making any sense that Doctors who is practicing cardiology and doing Echocardiography getting training of pelvic and abdominal region, while these areas are not of their concerns at all.

mamta_thakur000 

Can diagnostic center be started by person other than doctors, i hv completed bsc nursing n post graduation in hospital administration am i eligible to start a diagnostic center or a nursing home plz rep

kamlesh_kumar 

Please send a list of Govt. / MCA / UGC recognized centres that atre approved for training of sonologisets / doctors to conduct USG under the PNDTA act.

anil1963 

In pndt act , rule 13 about change of equipment in advance of 30 days from such change should be intimated to DAA. Wether this intimation of 30 days is from purhase of machine or installation of machine ?
Kindly tell me.

dmj_71 

please show how to fill the form

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