Section Mid 503.05 - Informed Consent Form(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.N.H. Admin. Code § Mid 503.05
Amended by Volume XXXVI Number 49, Filed December 8, 2016, Proposed by #12040, Effective 11/10/2016, Expires 11/10/2026.