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Unborn Child Pain Awareness Prevention Act Physician Reporting Form


Unborn Child Pain Awareness/Prevention Act Physician Reporting Form

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63 § 1-738.8. Provision of Information Prior to Abortion - Written Certification of Receipt
A. Except in the case of a medical emergency at least seventy-two (72) hours prior to an abortion being performed on an unborn child whose probable gestational age is twenty (20) weeks or more the physician performing the abortion or the agent of the physician shall inform the pregnant female by telephone or in person of the right to review the printed materials described in Section 1-738.10 of this title that these materials are available on a state-sponsored website and the web address of that website. The physician or the agent of the physician shall orally inform the female that the materials have been provided by the State of Oklahoma and that the materials contain information on pain and the unborn child. If the female chooses to view the materials other than on the website the materials shall either be given to the female at least seventy-two (72) hours before the abortion or received by the female at least seventy-two (72) hours before the abortion by certified mail restricted delivery to the addressee. The information required by this subsection may be provided by a tape recording if provision is made to record or otherwise register specifically whether the female does or does not choose to receive the printed materials given or mailed.
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A. Personal Information














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B. Practice Information










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C. Specialty Information





D. Contact Person












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E. Information Distribution (please refer to Unborn Child Pain Awareness/Prevention Act [OS 63 § 1-738.6 – 1-738.17, 1-740.2, 1-740.3, 1-740.4, 1-740.11, 1-740.12], beginning on page 23)
 























IF YOU HAVE ANY QUESTIONS, PLEASE CONTACT THE CENTER FOR HEALTH STATISTICS AT 1-405-271-6225.
 
NOTE: PLEASE KEEP A COPY OF THE SUBMISSION FOR YOUR FACILITY FILE.
Thank you
 





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