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Form 06-1566 Report of Induced Termination of Pregnancy - Alaska
What Is Form 06-1566?
This is a legal form that was released by the Alaska Department of Health and Social Services - a government authority operating within Alaska. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 06-1566?A: Form 06-1566 is the Report of Induced Termination of Pregnancy in Alaska.
Q: Who is required to fill out Form 06-1566?A: Medical professionals who perform induced terminations of pregnancy in Alaska are required to fill out this form.
Q: What is the purpose of Form 06-1566?A: The purpose of Form 06-1566 is to collect data on induced terminations of pregnancy in Alaska for statistical and reporting purposes.
Q: What information is included in Form 06-1566?A: Form 06-1566 includes information such as the patient's demographic data, medical history, details of the procedure, and follow-up information.
Q: Is the information in Form 06-1566 confidential?A: Yes, the information provided in Form 06-1566 is confidential and protected by state and federal privacy laws.
Q: Are there any penalties for not submitting Form 06-1566?A: Failure to submit Form 06-1566 as required may result in penalties or sanctions imposed by the Alaska Department of Health and Social Services.
Q: Can patients access their own Form 06-1566?A: Under certain circumstances, patients may be able to access their own Form 06-1566 through a request to the healthcare provider or the Alaska Department of Health and Social Services.
Q: How long should medical professionals keep copies of Form 06-1566?A: Medical professionals should retain copies of Form 06-1566 for a minimum of seven years, as required by Alaska state law.
Q: Is Form 06-1566 used for all types of pregnancy terminations?A: No, Form 06-1566 is specifically for induced terminations of pregnancy and does not apply to other types of pregnancy terminations.
Form Details:
- Released on July 1, 2005;
- The latest edition provided by the Alaska Department of Health and Social Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form 06-1566 by clicking the link below or browse more documents and templates provided by the Alaska Department of Health and Social Services.
