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TITLE 25HEALTH SERVICES
PART 7TEXAS MEDICAL DISCLOSURE PANEL
CHAPTER 601INFORMED CONSENT
RULE §601.8Disclosure and Consent Form for Hysterectomy

The Texas Medical Disclosure Panel adopts the following form which shall be used to provide informed consent to a patient or person authorized to consent for the patient of the possible risks and hazards involved in the hysterectomy surgical procedure named in the form. This form is to be used in lieu of the general disclosure and consent form adopted in §601.4(a) of this title (relating to Disclosure and Consent Form) for disclosure and consent relating to only hysterectomy procedures. Providers are required to use the form to obtain consent for hysterectomies performed at least 90 days following publication of this adopted section in the Texas Register. Providers shall have the form available in both English and Spanish language versions. Both versions are available from the Department of State Health Services.

  (1) English form.

Attached Graphic

  (2) Spanish form.

Attached Graphic


Source Note: The provisions of this §601.8 adopted to be effective February 18, 1998, 23 TexReg 1307; amended to be effective November 28, 2004, 29 TexReg 10780; amended to be effective October 16, 2005, 30 TexReg 6435

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