New Hampshire Code of Administrative Rules
Mid - Midwifery Council
Chapter Mid 500 - SCOPE OF MIDWIFERY PRACTICE
Part Mid 503 - MIDWIFERY CARE WHEN PREVIOUS BIRTH WAS BY CESAREAN SECTION
Section Mid 503.05 - Informed Consent Form
Universal Citation: NH Admin Rules Mid 503.05
Current through Register No. 12, March 21, 2024
(a) A midwife shall review with the potential VBAC client the informed consent form entitled "New Hampshire Midwifery Council Informed Consent for an Out-of-Hospital Vaginal Birth After Cesarean Section (VBAC)".
(b) Before obtaining the potential client's signature and date of signing of the form, the midwife shall insert in the spaces provided on the form:
(1) The name of
the midwife;
(2) If the birth is to
take place in a freestanding birth center, the name of the birth
center;
(3) The signature of the
midwife and the date of her signing;
(4) The New Hampshire certification number of
the midwife; and
(5) The business
address of the midwife.
(c) The midwife shall arrange for a person of at least 18 years of age to:
(1) Witness the
client's signing and dating of the form; and
(2) Place his or her printed name, signature
and date of signing in the spaces provided on the form.
#7931, eff 8-6-03
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