This is a legal form that was released by the Department of Vermont Health Access - a government authority operating within Vermont. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DVHA219A?
A: DVHA219A is a form used for abortion certification in Vermont.
Q: Who uses the DVHA219A form?
A: Healthcare providers in Vermont who perform abortions use the DVHA219A form.
Q: What is the purpose of the DVHA219A form?
A: The DVHA219A form is used to certify that an abortion was performed in accordance with Vermont's laws and regulations.
Q: Do I need to complete the DVHA219A form?
A: No, the DVHA219A form is completed by the healthcare provider who performs the abortion.
Q: What information is required on the DVHA219A form?
A: The DVHA219A form requires information about the patient, the healthcare provider, and details related to the abortion procedure.
Q: Is the DVHA219A form confidential?
A: Yes, the DVHA219A form is considered confidential and protected under privacy laws.
Q: What happens after the DVHA219A form is completed?
A: The completed DVHA219A form is submitted to the Vermont Department of Health for record-keeping and compliance purposes.
Q: Are there any fees associated with the DVHA219A form?
A: There are no fees associated with the DVHA219A form.
Q: Are there any time limits for submitting the DVHA219A form?
A: The DVHA219A form must be completed and submitted within a specified time frame as required by Vermont's laws and regulations.
Form Details:
Download a printable version of Form DVHA219A by clicking the link below or browse more documents and templates provided by the Department of Vermont Health Access.