Patient’s Rights Form


This product is now fulfilled by Priests for Life. Click the order button below to be directed to the product page on the Priests For Life website.

Free shipping on all orders!


    This two sided form is a good tool in trying to get women to change their minds about abortion. It warns her not to let anyone perform an abortion on her unless they complete this document and provide: the abortionist’s name, malpractice insurance information, malpractice history, and licensure status.

    The reality is, that not one single abortionist will sign this form, alerting the woman that she could be putting herself in danger.

    Pregnancy resource centers and sidewalk counselors have used this form with amazing success. Their feedback is that this may be the most effective way to turn around the most determined and abortion-minded clients.

    We guarantee you that babies and moms can be saved with this low-cost and effective tool! This form has been updated so that it is now easier to understand is much easier to write on.

    (Also includes information about RU-486, the “abortion pill”.)

    Note: Sold in pads of 25.


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