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This version of the form is not currently in use and is provided for reference only. Download this version of
Form DCH-0819A
for the current year.
Form DCH-0819A Abortion Complication Report - Michigan
What Is Form DCH-0819A?
This is a legal form that was released by the Michigan Department of Health and Human Services - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the DCH-0819A Abortion Complication Report?
A: The DCH-0819A Abortion Complication Report is a form used in Michigan to report complications related to abortions.
Q: Who is responsible for completing the DCH-0819A Abortion Complication Report?
A: Healthcare providers who perform abortions are responsible for completing the DCH-0819A Abortion Complication Report.
Q: What information is required on the DCH-0819A Abortion Complication Report?
A: The DCH-0819A Abortion Complication Report requires information such as the patient's name, demographics, date and location of the abortion, and details about any complications that occurred.
Q: What should be done with the completed DCH-0819A Abortion Complication Report?
A: The completed DCH-0819A Abortion Complication Report should be submitted to the Michigan Department of Health and Human Services.
Form Details:
- Released on August 1, 2017;
- The latest edition provided by the Michigan 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 printable version of Form DCH-0819A by clicking the link below or browse more documents and templates provided by the Michigan Department of Health and Human Services.
