When obtaining informed consent for sterilization services for Medi-Cal and Family PACT, providers must use the Consent for Sterilization (DHCS 8649) form. This is the only sterilization consent form accepted by DHCS. The form must be completed in accordance with instructions in the Medi-Cal Provider Manual- Sterilization (Ster) section.

Booklets published by the DHCS are linked below and must be provided to the individual along with the Consent for Sterilization (DHCS 8649) form.