Form F-01161 Abortion Certification Statements - Wisconsin

What Is Form F-01161?

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

FAQ

Q: What is Form F-01161?
A: Form F-01161 is the Abortion Certification Statements form used in the state of Wisconsin.

Q: Who uses Form F-01161?
A: Form F-01161 is used by physicians and facilities performing abortions in Wisconsin.

Q: What is the purpose of Form F-01161?
A: The purpose of Form F-01161 is to certify that specific requirements have been met for an abortion procedure.

Q: What information is included in Form F-01161?
A: Form F-01161 includes information such as the patient's name, gestational age, and the physician's certification.

Q: Do I need to submit Form F-01161 to the state?
A: Yes, Form F-01161 must be submitted to the state within 30 days of the abortion procedure.

Q: Who is responsible for completing Form F-01161?
A: The physician who performs the abortion procedure is responsible for completing Form F-01161.

Q: Are there any penalties for not submitting Form F-01161?
A: Failure to submit Form F-01161 can result in penalties and the suspension of a physician's license.

Q: What if I have further questions about Form F-01161?
A: If you have further questions about Form F-01161, you can contact the Wisconsin Department of Health Services for assistance.