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Infant Information Report Form - Perinatal Hepatitis B Prevention Program - New Hampshire
Infant Information Report Form - Perinatal Hepatitis B Prevention Program is a legal document that was released by the New Hampshire Department of Health and Human Services - a government authority operating within New Hampshire.
FAQ
Q: What is the Infant Information Report Form?
A: The Infant Information Report Form is a document used in the Perinatal Hepatitis B Prevention Program in New Hampshire.
Q: What is the purpose of the Perinatal Hepatitis B Prevention Program?
A: The Perinatal Hepatitis B Prevention Program aims to prevent transmission of Hepatitis B from mothers to their babies.
Q: Who is required to complete the Infant Information Report Form?
A: Healthcare providers who provide prenatal care and delivery services are required to complete the Infant Information Report Form.
Q: What information does the Infant Information Report Form contain?
A: The form contains information about the mother's Hepatitis B status, prenatal care, delivery, and the infant's Hepatitis B vaccine status.
Q: Why is it important to complete the Infant Information Report Form?
A: Completing the form ensures that appropriate interventions can be made to prevent Hepatitis B transmission and provide necessary care to the infant.
Q: Is there a deadline for submitting the Infant Information Report Form?
A: Yes, healthcare providers are required to submit the form within 7 days after the infant's birth.
Q: Are there any penalties for not completing the Infant Information Report Form?
A: Failure to complete and submit the form may result in penalties, including potential legal action and loss of funding for the healthcare provider.
Q: Who can I contact for more information about the Infant Information Report Form and the Perinatal Hepatitis B Prevention Program?
A: You can contact the New Hampshire Department of Health and Human Services or the Perinatal Hepatitis B Prevention Program for more information.
Form Details:
- Released on November 1, 2021;
- The latest edition currently provided by the New Hampshire Department of Health and Human Services;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Health and Human Services.
