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This version of the form is not currently in use and is provided for reference only. Download this version of
Form DCH-0819
for the current year.
Form DCH-0819 Abortion Report - Michigan
What Is Form DCH-0819?
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 Form DCH-0819?A: Form DCH-0819 is an Abortion Report used in Michigan.
Q: Who uses Form DCH-0819?A: Healthcare providers in Michigan who perform abortions use Form DCH-0819.
Q: Why is Form DCH-0819 used?A: Form DCH-0819 is used to report information about abortions performed in Michigan.
Q: What information is included in Form DCH-0819?A: Form DCH-0819 includes information such as the patient's age, gestational age, and the type of abortion procedure.
Q: Is Form DCH-0819 confidential?A: Yes, Form DCH-0819 is confidential and the information is protected by state law.
Q: Are there any penalties for not submitting Form DCH-0819?A: Failure to submit Form DCH-0819 can result in penalties and sanctions for healthcare providers in Michigan.
Q: Can patients access their own Form DCH-0819?A: Yes, patients have the right to access their own Form DCH-0819.
Q: Can Form DCH-0819 be used for research purposes?A: Yes, under strict conditions, Form DCH-0819 can be used for research purposes with appropriate approvals and protections.
Q: Can Form DCH-0819 be used to identify individual patients?A: No, Form DCH-0819 does not include personally identifiable information of patients.
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;
- Fill out the form in our online filing application.
Download a printable version of Form DCH-0819 by clicking the link below or browse more documents and templates provided by the Michigan Department of Health and Human Services.
