§ 50.204 Informed consent requirement.

Informed consent does not exist unless a consent form is completed voluntarily and in accordance with all the requirements of this section and § 50.205 of this subpart. (a) A person who obtains informed consent for a sterilization procedure must offer to answer any questions the individual to be sterilized may have concerning the procedure, provide a copy of the consent form, and provide orally all of the following information or advice to the individual who is to be sterilized: (1) Advice that the individual is free to withhold or withdraw consent to the procedure any time before the sterilization without affecting his or her right to future care or treatment and without loss or withdrawal of any federally funded program benefits to which the individual might be otherwise entitled: (2) A description of available alternative methods of family planning and birth control; (3) Advice that the sterilization procedure is considered to be irreversible; (4) A thorough explanation of the specific sterilization procedure to be performed; (5) A full description of the discomforts and risks that may accompany or follow the performing of the procedure, including an explanation of the type and possible effects of any anesthetic to be used; (6) A full description of the benefits or advantages that may be expected as a result of the sterilization; and (7) Advice that the sterilization will not be performed for at least 30 days except under the circumstances specified in § 50.203(d) of this subpart. (b) An interpreter must be provided to assist the individual to be sterilized if he or she does not understand the language used on the consent form or the language used by the person obtaining the consent. (c) Suitable arrangements must be made to insure that the information specified in paragraph (a) of this section is effectively communicated to any individual to be sterilized who is blind, deaf or otherwise handicapped. (d) A witness chosen by the individual to be sterilized may be present when consent is obtained. (e) Informed consent may not be obtained while the individual to be sterilized is: (1) In labor or childbirth; (2) Seeking to obtain or obtaining an abortion; or (3) Under the influence of alcohol or other substances that affect the individual's state of awareness. (f) Any requirement of State and local law for obtaining consent, except one of spousal consent, must be followed.