CONSENT FORM FOR IMPLANON INSERTION
Consent for Nexplanon Insertion
[INSERT PRACTICE]
I consent to the insertion of Nexplanon, a contraceptive implant.
I confirm that the following risks and benefits of the procedure have been explained to me:
Benefits:
Convenience – no pills to remember, lasts for 3 years (
One of the most reliable methods of contraception (99% effective) (
May lighten or stop periods (
Normal level of fertility returns as soon as implant is removed (
Risks/Disadvantages:
Erratic bleeding patterns are possible (
Possible side effects – acne, breast tenderness, bloating,
mood swings (
Small risk of infection when implant is inserted or removed (
Small scar on arm where implant is inserted and removed (
Although the implant is very effective, there is a small failure rate ( ................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- flu vaccine consent form 2018 2019 printable
- cdc flu vaccine consent form 2019
- immunization consent form cdc
- cdc influenza consent form adult
- vaccine consent form pdf
- flu consent form pdf
- immunization consent form for adults
- influenza vaccine consent form 2019
- shingrix administration consent form pdf
- flu vaccine consent form 2019 2020
- medication consent form new york
- medication consent form for children