State Form 56522 Abortion Complication Report - Indiana

What Is State Form 56522?

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

FAQ

Q: What is Form 56522?
A: Form 56522 is the Abortion Complication Report for the state of Indiana.

Q: Who is required to fill out Form 56522?
A: Health care providers in Indiana who perform abortions are required to fill out Form 56522.

Q: What is the purpose of Form 56522?
A: The purpose of Form 56522 is to document and report any complications that may arise from abortions performed in Indiana.

Q: Is Form 56522 confidential?
A: No, Form 56522 is not confidential. It is used for public health surveillance and reporting purposes.

Q: What information is required on Form 56522?
A: Form 56522 requires information such as the type of abortion procedure, any complications that occurred, and the patient's demographic information.

Q: When should Form 56522 be submitted?
A: Form 56522 should be submitted within 30 days after the completion of the abortion procedure.

Q: What happens to the data collected on Form 56522?
A: The data collected on Form 56522 is used for public health surveillance, research, and reporting purposes to ensure the safety of abortion procedures in Indiana.

Q: Are there any penalties for not submitting Form 56522?
A: Failure to submit Form 56522 can result in penalties or sanctions, as required by the state law in Indiana.

Q: Can patients access the information reported on Form 56522?
A: No, the information reported on Form 56522 is not accessible to the public. It is used for statistical purposes only and individual patient information is kept confidential.