When a spontaneous fetal demise occurs after a gestation of less than 20 completed weeks, the health care facility identified in Florida Statutes § 383.33625(4), shall follow the provisions of that section and shall provide AHCA Form 3100-0006, January 2005, Notification of Disposition of Fetal Demise, to the mother for her completion. AHCA Form 3100-0006, January 2005 is incorporated in this rule by reference and available at http://ahca.myflorida.com/MCHQ/Health_Facility_Regulation/Hospital_Outpatient/hospital.shtml, or from the Hospital and Outpatient Services Unit at 2727 Mahan Drive, MS #31, Tallahassee, FL 32308. A copy of the signed and completed form shall by retained in the mother’s medical record and shall be available for review by the Agency or Department of Health.
Rulemaking Authority 383.33625(6), 395.1055 FS. Law Implemented 383.33625, 395.1055(1)(b) FS. History-New 4-27-06, Amended 10-16-14.