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 |
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| 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) | |||||
Disclaimer: External links within the reference material are subject to change outside of the rulemaking process.
Rules/Notices using this Reference Material| Notice / Adopted |
Description | ID | Publish Date |
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|---|---|---|---|---|
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Medicaid Forms | 19983084 |
Effective: 02/08/2018 |
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Medicaid Forms | 18753415 |
Effective: 04/05/2017 |
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