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As the case was being pursued, it was discovered that the girls' mother, who could not read, unwittingly approved the operations, signing an 'X' on the release forms; Mrs. Relf had believed that she was signing a form authorizing her daughters to receive Depo-Provera injections, a form of birth control. [102] In light of the 1974 case of Relf v.
Texas (/ ˈ t ɛ k s ə s / ⓘ TEK-səss, locally also / ˈ t ɛ k s ɪ z / TEK-siz; [8] Spanish: Texas or Tejas, [b] pronounced) is the most populous state in the South Central region of the United States.