Ariz. Admin. Code § 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.

D. This Section is effective October 1, 2013.

Notes

Ariz. Admin. Code § R9-16-110

Adopted effective March 14, 1994 (Supp. 94-1). R9-16-110 renumbered to R9-16-113 ; new Section R9-16-110 made 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.