1 General Information
2 Abortion Types: Medical
3 Abortion Types: Procedural
4 Abortion Types: Preference
5 Medical History
6 Demographic Info (Abortion only)
7 Alternatives, Benefits and Risks (Abortion Only)
8 Patient Consent (Abortion Only)
9 Anesthesia / Sedation Consent (Procedural Abortion Only)
10 Aftercare Instructions (Abortion Only)
11 Insurance Authorization Form
12 HIPAA - Privacy Policy / Signature