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Form FA-57 Certification Statement for Abortion to Save the Life of the Mother - Nevada
What Is Form FA-57?
This is a legal form that was released by the Nevada Department of Health and Human Services - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form FA-57?
A: Form FA-57 is a certification statement for abortion to save the life of the mother in Nevada.
Q: What is the purpose of Form FA-57?
A: The purpose of Form FA-57 is to certify that an abortion is necessary to save the life of the mother.
Q: Who needs to complete Form FA-57?
A: Form FA-57 needs to be completed by a physician who believes an abortion is necessary to save the life of a pregnant woman.
Q: Can any physician complete Form FA-57?
A: No, only licensed physicians in Nevada can complete Form FA-57.
Q: Are there any fees to submit Form FA-57?
A: No, there are no fees to submit Form FA-57.
Q: What happens after Form FA-57 is submitted?
A: Once Form FA-57 is submitted, it will be reviewed by the Nevada Department of Health and Human Services.
Q: Is Form FA-57 confidential?
A: Yes, Form FA-57 and all related information are confidential and will be kept private.
Q: How long is Form FA-57 valid for?
A: Form FA-57 is valid for one year from the date it is completed and signed by the physician.
Q: Can Form FA-57 be used for elective abortions?
A: No, Form FA-57 can only be used for abortions that are necessary to save the life of a pregnant woman.
Form Details:
- Released on December 7, 2018;
- The latest edition provided by the Nevada Department of Health and Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form FA-57 by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.
