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Vasectomy consent form for submission to physician and social. Includes signature spaces for husband, wife, witness, and instructions to be followed before and after procedure.
#11: [Consent for vasectomy form]
Copies and alternate versions of this form also appear in GA172-3-19.
Parents' Information Bureau fonds
Series 1: Forms, Publications
GA58-1-8
GA58-1-8_001
[196-?]
forms
Parents' Information Bureau
Parents' Information Bureau Sterilization (Birth control)
North America
Canada
Ontario
Waterloo (Ont. : Regional municipality)
Kitchener (Ont.)
Attribution-NonCommercial-ShareAlike 4.0 International
University of Waterloo Library. Special Collections & Archives. Parents' Information Bureau fonds. #11: [Consent for vasectomy form]. GA58-1-8.