Indiana Code
Chapter 4. Informed Consent for the Practice of Certified Direct Entry Midwifery
25-23.4-4-1. Requirements to Accept a Client

Sec. 1. (a) All the following must occur before a certified direct entry midwife may accept a client for midwifery care:
(1) The certified direct entry midwife must provide the potential client with an informed disclosure of practice form.
(2) The potential client must sign and date the form.
(3) The certified direct entry midwife must sign and date the form.
(4) If the potential client refuses a procedure or treatment required by law, the potential client must so indicate on a separate procedure or treatment form.
(5) The certified direct entry midwife must have an emergency plan for the care of the client if an emergency arises. As part of the emergency plan, the client must sign a release of the client's medical records that allows the certified direct entry midwife to provide the client's medical records to a physician if an emergency arises.
(6) Subject to rules adopted under IC 25-23.4-2-6(b)(5), the certified direct entry midwife must have a collaborative agreement with a physician to provide for consultation and care for the client. The physician shall examine the client at least one (1) time during the client's first trimester and one (1) time during the client's third trimester. The collaborating physician should be located in an area close to where the delivery will occur.
(7) The certified direct entry midwife must provide the client with a list of options for additional screening and assessments, including visits to a physician.
(8) The certified direct entry midwife must maintain medical records on the client through the entire course of care and transfer the medical records to a treating physician if an emergency arises. The medical records must contain all the forms that are required under this subsection.
(b) A certified direct entry midwife may not have a minor as a client unless the minor's parent or guardian has agreed in writing to use the certified direct entry midwife and all other requirements of this article have been met.
As added by P.L.232-2013, SEC.20.

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