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A WOMAN’S RIGHT TO KNOW A PHYSICIAN’S GUIDE TO

The contents of the Resource Directory and Information Booklet are included in the “A Woman’s
Right To Know” website and may be downloaded and printed. The printed materials and website are
provided in both English and Spanish.
The Oklahoma Board of Medical Licensure and
A Woman’s Right to Know
Supervision is committed to making these resources
www.awomansright.org available to the public in accordance with Title 63,
Section 1-738.2
The contents of the “A Woman’s Right to Know”
website and Information Material Booklet are
provided for educational and informational purposes
only and are not intended to be a substitute
for professional medical advice, diagnosis, or
treatment.

The Oklahoma Board of Medical Licensure and


Supervision has made efforts to supply current and
accurate information as a service to the public.
OKLAHOMA’S INFORMED
However, no guarantee, explicit or implicit, is made
regarding the contents of these publications and
website, especially as information might be altered CONSENT BOOKLETS
by forces beyond the control of the Oklahoma State
Board of Medical Licensure and Supervision.

The Oklahoma State Board of Medical Licensure AND


and Supervision does not accept responsibility for
information provided by any of the various agencies
identified within the publications or website.
WEBSITE
The State Board of Medical Licensure and
Supervision and the State Board of Osteopathic
Examiners shall promulgate rules to ensure
that physicians comply with all requirements.
Oklahoma’s Informed Consent laws and legislative
updates can be read in their entirety from the “A
Woman’s Right to Know” website:
www.awomansright.org
Page 1 - Physician Obligations
Page 2 - Physician’s Obligations in RU-486
Abortion
www.awomansright.org Page 3 - Patient Education & Resources
Comments may be addressed to:
Oklahoma State Board of Medical Licensure and Page 4 - Informed Consent Statement
Supervision
101 NE 51st Street Oklahoma City, OK 73105. Page 5 & 6 - Website Information
To order more brochures, fax quantity and contact
information to 405-962-1499. Page 7 - Publisher Information
INFORMING OKLAHOMANS
5 6 7 Version 4 - 10/11/17

A WOMAN’S RIGHT TO KNOW A WOMAN’S RIGHT TO KNOW A WOMAN’S RIGHT TO KNOW A WOMAN’S RIGHT TO KNOW

PHYSICIAN’S OBLIGATIONS PHYSICIANS OBLIGATIONS RU - 486 PATIENT EDUCATION & RESOURCES INFORMED
Except in the case of a medical emergency, T he physician who gives, sells, dispenses,
CONSENT STATEMENT
not less than 72 hours prior to the administers or prescribes RU-486 Information Booklet
performance of an abortion, the following (Mifepristone) must: According to the laws of Oklahoma, a
woman considering an abortion has the I attest that the following patient,
information is to be provided to the woman
• Have the ability to assess the duration right to be fully informed. The
by the physician who is to perform the of the pregnancy accurately.
abortion, or a referring physician, or an agent “A Woman’s Right to Know” booklet
• Have the ability to diagnose ectopic is designed to assist a woman in the PRINTED NAME OF PATIENT
of either physician, by phone or in person: pregnancies.
information-gathering and decision-
• Have the ability to provide surgical
• Name of the physician who will perform intervention in cases of incomplete making process. This booklet
has been offered access to “A Woman’s Right
the abortion. abortion or severe bleeding or can contains current and medically to Know” information in accordance with
• The medical risks associated with the make plans to provide such care reliable information concerning Oklahoma Law.
particular abortion procedure to be through other qualified physicians. probable anatomical and physiological
• Is able to assure patient access to characteristics of the unborn child,
employed.
medical facilities equipped to provide methods of commonly used abortion
• The probable gestational age of the blood transfusions and resuscitation, if NAME OF AGENCY OR PHYSICIAN
unborn child at the time the abortion is to procedures, medical risks commonly
necessary.
be performed. • Provide each patient a copy of the associated
• The medical risks associated with carrying drug manufacturer’s medication guide with each abortion
procedure, and risks SIGNATURE OF DOCTOR OR AGENT
her child to term. for RU-486, Mifepristone.
• Availability of free ultrasound imaging • Fully explain the procedure to patient, commonly
and heart tone monitoring facilities. including, but not limited to explaining associated with
whether the physician is using the I hereby confirm that I have been given the
• The father is liable to assist in the support carrying the child opportunity to review information provided by
of her child. drug in accordance with the U.S. Food to term. the Oklahoma State Board of Medical
and Drug Administration tested and Licensure and Supervision. This information
• She has the option to review printed
authorized protocol. includes access to the following:
materials provided by the State Board • Provide the patient a copy of the drug Client Card
of Medical Licensure and Supervision, manufacturer’s patient agreement. Information Booklet
which include a Resource Directory This agreement can be found at Resource Directory
and Information Booklet. The printed www.earlyoptionpill.com.
Resource Directory Website
materials shall be mailed to her, by a • RU-486, Mifepristone must be The Resource Directory is designed
method chosen by the woman. administered by or in the same room to inform a woman of the public and
• She has the option to review the material and in the physical presence of the private agencies that are available to
via the internet, she shall be given the physician who prescribed, dispensed, assist her through pregnancy, upon Signature of Patient
specific address of the internet website or otherwise provided the drug to the childbirth, and while her child is still
patient. dependent. Date:
where the material can be accessed, • Make reasonable efforts to ensure the
www.awomansright.org. patient returns 12-18 days after the
administration of RU-486 so physician
can confirm the pregnancy has Both can be accessed via the internet Note: This form has been provided solely for the
physician’s record keeping convenience and does not
terminated. at www.awomansright.org. constitute a legal document.
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