TX DSHS Induced Abortion Report Form 2016-2025 free printable template

TO BE COMPLETED BY PHYSICIAN. A) Was Proof of the Patient's Identity Obtained? Yes. B) Was Proof of the Patient's Age Obtained? Yes. No. No. 6) Abortion ...

How to fill out TX DSHS Induced Abortion Report Form

How to fill out TX DSHS Induced Abortion Report Form

1. Obtain the TX DSHS Induced Abortion Report Form from the Texas Department of State Health Services website or local health office.
2. Fill in the facility name and address where the abortion was performed.
3. Provide patient information including age, race, and marital status.
4. Document the type of abortion procedure performed.
5. List the reasons for the abortion as reported by the patient.
6. Indicate the gestational age of the fetus at the time of the procedure.
7. Include details about any complications that occurred during or after the abortion.
8. Sign and date the form to verify the information provided.
9. Submit the completed form to the Texas DSHS in accordance with their submission guidelines.

Who needs TX DSHS Induced Abortion Report Form?

1. Healthcare facilities that perform induced abortions in Texas are required to submit the TX DSHS Induced Abortion Report Form.
2. Abortion providers such as clinics and hospitals must complete this form to comply with state reporting requirements.

People Also Ask about

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In 2015, the law was ruled unconstitutional under the precedent set by the U.S. Supreme Court decision Roe v. Wade (1973).

What is the abortion trigger bill in Texas?

Texas's Trigger Law In 2021, the Texas Legislature passed a bill with a trigger provision. This bill, HB 1280, contained language that would ban abortion 30 days after one of the following events occurred: The issuance of a judgment by the United States Supreme Court overturning Roe v.

What is the code for induced abortion?

Induced Abortion HCPCS code S0199 is generally considered "all-inclusive," except for the medications.

What are the exceptions to the Texas Heartbeat Bill?

The act contains exceptions in the case of medical emergency, such as if the mother is at risk of death or severe irreversible bodily harm. It makes no exceptions for rape or incest.

What is the new Texas abortion statute?

July 27, 2022 This law will prohibit almost all abortions. It also sets out civil, criminal, and professional penalties for abortion providers who violate the law. These provisions are in Chapter 170A of the Texas Health & Safety Code, which was enacted by House Bill 1280 in 2021.

What are the exceptions to the fetal heartbeat bill?

The state allows exceptions for when the woman's life is in danger, or if the pregnancy is the result of rape or incest.

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What is TX DSHS Induced Abortion Report Form?

The TX DSHS Induced Abortion Report Form is a document used by healthcare facilities in Texas to report details regarding induced abortions performed. This report is mandated by the Texas Department of State Health Services (DSHS) to monitor and regulate abortion practices.

Who is required to file TX DSHS Induced Abortion Report Form?

Healthcare providers and facilities that perform induced abortions in Texas are required to file the TX DSHS Induced Abortion Report Form. This includes hospitals, clinics, and private practice physicians who provide abortion services.

How to fill out TX DSHS Induced Abortion Report Form?

To fill out the TX DSHS Induced Abortion Report Form, providers must gather relevant patient information, including demographics, details of the procedure, and medical history. They should follow the instructions provided on the form to ensure all required fields are completed accurately and submit it as per the guidelines set by the DSHS.

What is the purpose of TX DSHS Induced Abortion Report Form?

The purpose of the TX DSHS Induced Abortion Report Form is to collect data on abortion procedures to understand trends, monitor public health implications, ensure compliance with state laws, and facilitate informed policy-making regarding reproductive health services.

What information must be reported on TX DSHS Induced Abortion Report Form?

Information that must be reported on the TX DSHS Induced Abortion Report Form includes patient demographics (such as age and race), medical history, gestational age at the time of the abortion, method used, reason for the abortion, and complications if any occurred during the procedure.