Form DCH-0819A Abortion Complication Report - Michigan

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Form DCH-0819A Abortion Complication Report - Michigan

What Is Form DCH-0819A?

This is a legal form that was released by the Michigan Department of Health and Human Services - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DCH-0819A Abortion Complication Report?
A: The DCH-0819A Abortion Complication Report is a form used in Michigan to report complications related to abortions.

Q: Who is responsible for completing the DCH-0819A Abortion Complication Report?
A: Healthcare providers who perform abortions are responsible for completing the DCH-0819A Abortion Complication Report.

Q: What information is required on the DCH-0819A Abortion Complication Report?
A: The DCH-0819A Abortion Complication Report requires information such as the patient's name, demographics, date and location of the abortion, and details about any complications that occurred.

Q: What should be done with the completed DCH-0819A Abortion Complication Report?
A: The completed DCH-0819A Abortion Complication Report should be submitted to the Michigan Department of Health and Human Services.

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Form Details:

  • Released on August 1, 2017;
  • The latest edition provided by the Michigan Department of Health and Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form DCH-0819A by clicking the link below or browse more documents and templates provided by the Michigan Department of Health and Human Services.

Download Form DCH-0819A Abortion Complication Report - Michigan

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  • Form DCH-0819A Abortion Complication Report - Michigan, Page 1
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