Informed consent for dilation and curettage (D&C), covering diagnostic and therapeutic indications including miscarriage management, abnormal bleeding evaluation, and endometrial sampling.
The Dilation & Curettage (D&C) Informed Consent is a ready-to-use healthcare & wellness template you can send for signature in minutes. It is written for 1 signer (patient) and, by default, expires 30 days after it is sent if left unsigned. It covers consent, obgyn, dc, uterine procedure, miscarriage, reproductive health. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.
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# Dilation & Curettage (D&C) Informed Consent > **Important — not medical advice.** For use by a licensed provider; tailor to the patient, your protocols, and state law. **Patient Name:** ___________ **Date of Birth:** ___________ **Medical Record Number:** ___________ **Ordering Provider:** ___________ **Planned Procedure Date:** ___________ --- ## 1. Procedure I, the undersigned patient, consent to dilation and curettage (D&C) performed by my healthcare provider. **Indication category:** ___________ **Planned anesthesia:** ___________ A dilation and curettage (D&C) is a minor surgical procedure in which the cervix is gradually dilated (opened) and the inner lining of the uterus (endometrium) or its contents are removed by curettage (scraping or suction). The procedure steps typically include: 1. Positioning and preparation under anesthesia or sedation. 2. A speculum is placed to visualize the cervix. 3. A cervical tenaculum is applied to stabilize the uterus. 4. Cervical dilators (graduated) are inserted in sequence to open the cervical os. 5. A curette (sharp) or suction cannula (vacuum aspiration) is used to remove uterine contents or endometrial tissue. 6. An ultrasound may be used during the procedure to confirm completeness and avoid uterine perforation. 7. Instruments are removed and hemostasis is confirmed. Tissue removed is sent to pathology unless otherwise specified by my provider. ---