24 Hour Consent Form

What is the 24 Hour Consent Form?

The 24 Hour Consent Form is a State of Michigan mandatory legal form that all patients seeking an abortion in any clinic in Michigan must have on appointment day.

All patients are required to review these materials and have the correct 24 hour consent form, otherwise, we will not be able to perform the abortion. During the appointment intake, our phone counselors will explain the steps to the Consent Law and the 24 Hour Consent Form; we will work with you to find the best way to get this form and confirm its information.

Two options to get the form:

  • Pick up the information packet in person at the clinic (bring the brightly-colored confirmation page with you on appointment day).
  • Online access (print the consent form or email it). An example form is shown below. 

 

Our staff is required by the State of Michigan to verify the timestamp on your consent form. If the timestamp on your consent form is less than 24 hours before your appointment time, you will need to reschedule. 

For online access:

 Click the button below for the State of Michigan Informed Consent Law and 24 Hour Consent Form. 

Example of the 24 Hour Consent Form

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