Florida Department of State and Division of Library and Information Services

Reference: Ref-04100

Reference Name: Consent to Deliver in a Birth Center, AHCA Form 3130-3003, November 2013
Agency: 59 Agency for Health Care Administration
59A Health Facility and Agency Licensing

Modified Document(s): No Modified document(s).
Adopted Document(s):
4/4/2014 Form used by clients to document written consent to deliver in a birth center.
Proposed Document(s):
4/3/2014 Form used by clients to document written consent to deliver in a birth center.
Description: Form used by clients to document written consent to deliver in a birth center.

Disclaimer: External links within the reference material are subject to change outside of the rulemaking process.

Rules/Notices using this Reference Material
Notice /
Adopted		 Section Description ID Publish
Date
View Text Final
59A-11.010 		Informed Consent 14499383 Effective:
05/15/2014



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