Form DVHA219A Abortion Certification - Vermont

Form DVHA219A Abortion Certification - Vermont

What Is Form DVHA219A?

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

FAQ

Q: What is DVHA219A?
A: DVHA219A is a form used for abortion certification in Vermont.

Q: Who uses the DVHA219A form?
A: Healthcare providers in Vermont who perform abortions use the DVHA219A form.

Q: What is the purpose of the DVHA219A form?
A: The DVHA219A form is used to certify that an abortion was performed in accordance with Vermont's laws and regulations.

Q: Do I need to complete the DVHA219A form?
A: No, the DVHA219A form is completed by the healthcare provider who performs the abortion.

Q: What information is required on the DVHA219A form?
A: The DVHA219A form requires information about the patient, the healthcare provider, and details related to the abortion procedure.

Q: Is the DVHA219A form confidential?
A: Yes, the DVHA219A form is considered confidential and protected under privacy laws.

Q: What happens after the DVHA219A form is completed?
A: The completed DVHA219A form is submitted to the Vermont Department of Health for record-keeping and compliance purposes.

Q: Are there any fees associated with the DVHA219A form?
A: There are no fees associated with the DVHA219A form.

Q: Are there any time limits for submitting the DVHA219A form?
A: The DVHA219A form must be completed and submitted within a specified time frame as required by Vermont's laws and regulations.

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Form Details:

  • Released on October 1, 2010;
  • The latest edition provided by the Department of Vermont Health Access;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form DVHA219A by clicking the link below or browse more documents and templates provided by the Department of Vermont Health Access.

Download Form DVHA219A Abortion Certification - Vermont

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  • Form DVHA219A Abortion Certification - Vermont, Page 1
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