R9-16-110. Assertion to Decline Required Tests

A. Except for R9-16-108(I)(1)(f), if the client declines a test required in R9-16-108(I)(1) or (2), a midwife shall obtain a written assertion of a client’s decision to decline a required test in a format provided by the Department, that contains: 1. The midwife’s: a. Name, b. Telephone number, c. License number, and d. E-mail address; 2. The client’s: a. Name; b. Address; c. Telephone number; d. Date of birth; and e. E-mail address, if applicable; 3. The required test being declined by the client; 4. Additional information as required by the Department; 5. An attestation that the client: a. Was provided the information as required in R9-16- 108(C)(1)(d), and b. Is declining testing; and 6. The signatures of the client and midwife and date signed. B. A midwife shall ensure that the written assertion of the decision to decline a test is placed in the client record. C. A midwife shall ensure that a copy of the written assertion of the decision to decline a test is provided to the: 1. Client, and 2. Department within five calendar days after a Department request.