File 8 - #11 : untitled form : consent for vasectomy.

Title and statement of responsibility area

Title proper

#11 : untitled form : consent for vasectomy.

General material designation

  • Textual record

Parallel title

Other title information

Title statements of responsibility

Title notes

Level of description

File

Reference code

SCA88-GA58-1-8

Edition area

Edition statement

Edition statement of responsibility

Class of material specific details area

Statement of scale (cartographic)

Statement of projection (cartographic)

Statement of coordinates (cartographic)

Statement of scale (architectural)

Issuing jurisdiction and denomination (philatelic)

Dates of creation area

Date(s)

Physical description area

Physical description

1 printed leaf

Publisher's series area

Title proper of publisher's series

Parallel titles of publisher's series

Other title information of publisher's series

Statement of responsibility relating to publisher's series

Numbering within publisher's series

Note on publisher's series

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 determining that seasonal employees with large families were disproportionately impacted by layoffs. He began offering family planning services to his employees, eventually extending them to anyone in Canada with the founding of the PIB. At its peak, the organization employed approximately 50 people in locations across the country who provided services to families in their homes, rather than at clinics. The model allowed families to order supplies by mail, receiving kits that included spermicides, condoms and information about purchasing additional items like diaphragms.

Custodial history

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

Physical condition

Immediate source of acquisition

Arrangement

Language of material

    Script of material

      Location of originals

      Availability of other formats

      Restrictions on access

      Terms governing use, reproduction, and publication

      Finding aids

      Associated materials

      Copies and alternate versions of this form also appear in GA172-3-19.

      Related materials

      Accruals

      Alternative identifier(s)

      Standard number

      Standard number

      Access points

      Subject access points

      Place access points

      Name access points

      Genre access points

      Control area

      Description record identifier

      Institution identifier

      Rules or conventions

      Status

      Level of detail

      Dates of creation, revision and deletion

      Language of description

        Script of description

          Sources

          Accession area