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DEPARTMENT OF HEALTH SERVICES Division of Health Care Access and Accountability F-1161 (10/08) STATE OF WISCONSIN s. 20.927, Wis. Stats. FORWARDHEALTH ABORTION CERTIFICATION STATEMENTS ForwardHealth
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How to fill out forwardhealth abortion certification statements:

01
Obtain the forwardhealth abortion certification statements form from the appropriate authority.
02
Fill in your personal information including your full name, date of birth, and contact details.
03
Provide information about the abortion procedure such as the date it occurred and the healthcare provider who performed it.
04
Indicate the reason for the abortion, whether it was due to a medical necessity, personal choice, or other circumstances.
05
If applicable, provide any supporting documentation or medical records related to the abortion procedure.
06
Review the form for accuracy and completeness before submitting it to the relevant authority.

Who needs forwardhealth abortion certification statements:

01
Individuals who have undergone an abortion procedure and require proof of the abortion for medical or legal purposes.
02
Healthcare providers who performed the abortion and need to complete the necessary certification statements for their patients.
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ForwardHealth abortion certification statements are documents that certify the completion of an abortion procedure for reimbursement purposes.
Healthcare providers who have performed abortion procedures and are seeking reimbursement from ForwardHealth are required to file abortion certification statements.
ForwardHealth abortion certification statements can be filled out by the healthcare provider who performed the abortion procedure and must include specific information such as patient demographics, procedure details, and provider information.
The purpose of ForwardHealth abortion certification statements is to verify the completion of abortion procedures and ensure that healthcare providers receive appropriate reimbursement for services rendered.
Information such as patient demographics, procedure details, provider information, and any complications or follow-up care must be reported on ForwardHealth abortion certification statements.
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