#11: [Consent for vasectomy form]
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.
Copies and alternate versions of this form also appear in GA172-3-19.
Parents' Information Bureau fonds
Series 1: Forms, Publications
Parents' Information Bureau
Parents' Information BureauSterilization (Birth control)
Waterloo (Ont. : Regional municipality)
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.