Nexplanon insertion consent
[DOCX File]Queens Road Medical Practice | Guernsey Doctors Surgery
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Queens Road Medical Practice – Contraceptive Implant (Nexplanon) You have been given this information sheet and consent form because you are considering having the contraceptive implant (Nexplanon) inserted. If you have any questions at all, please discuss these with the doctor or their PA.
[DOC File]Consent: LEEP - WRS Health
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By completing this Patient Consent Form, I am consenting to the insertion of . NEXPLANON. and acknowledging that I have read and understand the following points and made an informed and careful decision to use . NEXPLANON. NEXPLANON. is an implant that releases a hormone (etonogestrel) to prevent pregnancy.
[DOCX File]Welcome to Medical Appraisal Scotland (home of SOAR)
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Five patients had their Nexplanon contraceptive implants removed due to unwanted side effects (PV bleeding being by far the commonest complaint). One of these five also complained of discomfort over the insertion site the following day-reviewed and no problems identified.
[DOC File]CONSENT FORM FOR IMPLANON INSERTION
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Consent for Nexplanon Insertion [INSERT PRACTICE] I consent to the insertion of Nexplanon, a contraceptive implant. I confirm that the following risks and benefits of the procedure have been explained to me: Benefits: Convenience – no pills to remember, lasts for 3 years
[DOC File]Reproductive Health Access Project
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Subdermal Contraceptive (Nexplanon®) Consent Form ____ I request an insertion of subdermal contraceptive implant (progestin implant, Nexplanon ®). I understand the following: ____ I will have a pregnancy test before the subdermal contraceptive implant is inserted.
[DOC File]Drs Schofield, Thorogood, Nixon, Gilder, Williams ...
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CONSENT FORM FOR NEXPLANON INSERTION. I understand that there are benefits as well as risks with using NEXPLANON. I understand that there are other birth control methods and that each has its own benefits and risks.
[DOC File]Consent for the Insertion of Implanon - Ky CHFS
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I hereby consent to the insertion of Implanon and understand that it is effective until _____, at which time I must have it removed. I received a FPEM-7 handout dated _____ and a copy of the Implanon patient labeling and consent form and post-insertion instructions. _____ _____ Patient Signature Date. The above patient signed the consent form ...
[DOC File]SOM - State of Michigan
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NEXPLANON. INTRODUCTION. NEXPLANON® is a long-term (3 year), reversible hormonal contraceptive subdermal implant that contains 68mg etonogestrel (progesterone-only). NEXPLANON ® is a sterile single rod 4 cm in length and 2 mm wide and does not contain latex.
[DOCX File]VIRGINIA DEPARTMENT OF HEALTH
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Nexplanon Insertion _____ Endometrial Biopsy. Nexplanon Removal _____ Colposcopy – with or without Cervical . ... This consent will remain in effect as long as I receive care from the Virginia Department of Health or until I withdraw it. _____ _____
[DOCX File]Ibstock Surgery - GP Surgery Website. All about your ...
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Please keep the dressing in place for 24 hours post insertion and avoid heavy lifting for the next 48 hours to avoid excess bruising. Your periods may be erratic and irregular. If it becomes heavy please see Dr Luke or Dr Houghton.
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