Reference: Ref-07926

Reference Name: The United States Department of Health and Human Services’ Consent for Sterilization Form - HHS-687 (10/12) (Consent for Sterilization Form)
Agency: 59 Agency for Health Care Administration
59G Medicaid

Original Document(s):
2/3/2017 The United States Department of Health and Human Services’ Consent for Sterilization Form - HHS-687 (10/12)
Modified Document(s): No Modified document(s).
Description: The United States Department of Health and Human Services’ Consent for Sterilization Form - HHS-687 (10/12)
Rules/Notices using this Reference Material
Notice /
Adopted
Section Description ID Publish
Date
View Text Final
59G-1.045
Medicaid Forms 18753415 Effective:
04/05/2017