Ariz. Admin. Code § 9-16-110

Current through Register Vol. 30, No. 50, December 13, 2024
Section 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.

Ariz. Admin. Code § R9-16-110

Adopted effective March 14, 1994 (Supp. 94-1). R9-16-110 renumbered to R9-16-113; new Section R9-16-110made by exempt rulemaking at 19 A.A.R. 1805, effective July 1, 2013 (Supp. 13-2). Amended by final expedited rulemaking at 28 A.A.R. 1119, effective 5/4/2022.