Title and statement of responsibility area
Title proper
11 : untitled form : consent for vasectomy.
General material designation
- Textual record
Level of description
File
Reference code
SCA88-GA58-1-8
Dates of creation area
Date(s)
Physical description area
Physical description
1 printed leaf
Archival description area
Name of creator
([1930-197?])
Administrative history
The Parents' Information Bureau (PIB) was a clinic for family planning and birth control set up by A.R. Kaufman of the Kaufman Rubber Company in the 1930's in Kitchener, Ont. Kaufman became interested in birth control during the Great Depression after ... »
Scope and content
Vasectomy consent form for submission to physician and social. Includes signature spaces for husband, wife, witness, and instructions to be followed before and after procedure.
Notes area
Associated materials
Copies and alternate versions of this form also appear in GA172-3-19.