Form PHY-96-2 Certification and Documentation for Abortion - Alabama

What Is Form PHY-96-2?

This is a legal form that was released by the Alabama Medicaid Agency - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the Form PHY-96-2 Certification and Documentation for Abortion in Alabama?A: The Form PHY-96-2 is a certification and documentation form required for abortions in Alabama.

Q: Who is required to complete Form PHY-96-2?A: The physician performing the abortion is responsible for completing Form PHY-96-2.

Q: What information is included in Form PHY-96-2?A: Form PHY-96-2 includes information about the patient, the physician, the type of abortion procedure, and the medical indication for the abortion.

Q: Is Form PHY-96-2 confidential?A: Yes, Form PHY-96-2 is confidential and protected by privacy laws.

Q: Are there any penalties for not completing Form PHY-96-2?A: Failure to complete Form PHY-96-2 can result in disciplinary actions against the physician and may impact the legality of the abortion procedure.

Q: Can I refuse to fill out Form PHY-96-2?A: As a patient, you cannot refuse to fill out Form PHY-96-2. However, you have the right to ask questions and seek clarification about the form.