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Patient Consent for Depo-Provera
Patient Consent for Depo-Provera Depo-Provera is a hormone used to inhibit ovulation. As a form of birth control, it is 99.7% effective. Depo-Provera is given by intramuscular injection and last for about twelve weeks. To be effective, an injection must be given every twelve weeks. Depo-Provera may be given to breast-feeding women when sixFile Size: 129KBPage Count: 1[PDF]
Depo-Provera Contraceptive Injection Consent Form
Depo-Provera Contraceptive Injection if it is not given in the first 5 days of menses. I am also aware that receiving it late may interfere with its contraceptive effect. I have been advised to refrain from sexual activity or use another form of birth control for 4 weeks.[PDF]
Consent form for Depo Provera - Tarleton State University
Consent form for Depo -Provera? Depo-Provera?is a hormonal substance that prevents ovulation from occurring. Injected intramuscularly every 3 months into the muscle of the upper arm or buttocks.File Size: 24KBPage Count: 3
Depo provera consent form - Fill Out and Sign Printable
Depo provera consent form. Fill out, securely sign, print or email your Depo Provera consent form instantly with SignNow. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. Available for PC, iOS and Android. Start a free trial now to save yourself time and money!4.7/5(147)[PDF]
Depo-Provera (DMPA) Consent
S:\Handouts\Clinical\Depo-Provera Information and Consent 06/27/19 Depo-Provera (DMPA) Consent Please review the information below. Ask questions of your health care provider to ensure that you understand the risks and benefits of using Depo-Provera.[PDF]
Request and Consent for Depo Provera (DHHS 4104)
Aug 17, 2016Request and Consent for Depo Provera® (The Shot) 1. Last Name First Name MI 2. Patient Number 3. Date of Birth (M M/DD/YYYY) Month Day Year 4. Race American Indian or Alaska Native Asian Black/African American Native Hawaiian/Other Pacifi c Islander Unknown White 5. Ethnic Origin Hispanic Cuban Hispanic Mexican AmericanPeople also askCan Someone get pregnant on Depo Provera?Can Someone get pregnant on Depo Provera?Only about 3 in 1,000 women will become pregnant while on the contraceptive [source: American Pregnancy Association ]. However,even the best birth control can fail on rare occasions. So,yes,there is a very slight possibility you can get pregnant on Depo-Provera.Can you get pregnant on the Depo shot? | HowStuffWorksSee all results for this questionWhat happens to my body when I stop taking Depo Provera shots?What happens to my body when I stop taking Depo Provera shots?Women who use Depo-Provera may also experience decreased bone density. This happens more the longer you use it and stops when you stop using the shot. You'll recover some bone mineral density after you stop using the shot,but you may not have full recovery.Depo-Provera: How It Works, Side Effects, and MoreSee all results for this questionCould I be pregnant on Depo Provera?Could I be pregnant on Depo Provera?If a womanbecomes pregnant while using Depo Provera,she may be at risk of a premature birth. Irregular,heavy bleedingor no bleeding at all are common side effects. The longer one uses Depo,the more likely it is your periods will stop all together. It takes some time for the body to readjust after taking Depo Provera for a long time.Woman's Health Centers | Depo ProveraSee all results for this questionCan you take Plan B while on Depo Provera?Can you take Plan B while on Depo Provera?You can trust the instructions given to you by your healthcare provider. For future reference,no,it's not dangerous to takePlanBwhile on depo. You wouldn't need to,though,unless you hadn't got your repeated shot when you were supposed to.Plan b while on depo? - Scarleteen BoardsSee all results for this questionFeedback[PDF]
MORRIS COUNTY HEALTH DEPARTMENT CONSENT FOR INJECTION OF DEPO PROVERA FOR CONTRACEPTION Before you sign this form, be sure you understand the benefits as well as possible problems that might happen with use of Depo Provera. This form lists the possible problems and the danger signs you should watch for.[PDF]
Informed Consent for Medication, Depo-Provera
Apr 28, 2017F-24277 Medication: Depo-Provera - (Medroxyprogesterone acetate) By my signature below, I GIVE consent for the named medication on Page 1 and anticipated dosage range. My signature also indicates that I understand the following: 1.[PDF]
Depo-Provera Consent • Client Information Sheet
Depo-Provera Consent • Client Information Sheet What is Depo-Provera? Depo-Provera is a kind of birth control given by a shot. I understand that the shot contains only the hormone progestin. The shot keeps a woman from getting pregnant for 12 weeks by stopping the ovaries from producing eggs.
Our Products / DEPO-PROVERA This product information is intended only for residents of the United States. for Health Care Professionals: DEPO-PROVERA 400mg U.S. Physician Prescribing Information; DEPO-PROVERA CI U.S. Physician Prescribing Information ; See related articles.
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