Form 3: Pregnancy loss - authorisation for completion of Form 2 on behalf of the patient

Warning

Authorisation for burial or cremation following pregnancy loss up to 23 weeks and 6 days gestation.

Form 3 should be used to authorise an individual to complete Form 2 on behalf of the patient.

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Editorial Information

Last reviewed: 23/08/2023

Next review date: 31/08/2028