(1) perform a preliminary medical screening examination;

(2) provide necessary stabilizing treatment to the extent he or she is trained to provide those services;

(3) arrange for the immediate transportation of the newborn infant to the nearest hospital with an emergency department;

(4) assign the newborn infant a unique, confidential identification number;

(5) provide, or make a good faith effort to provide, to the mother a copy of the confidential identification number in order to facilitate reunification with the newborn infant pursuant to § 13506 of this Article;

(6) provide, or make a good faith effort to provide, to the mother a Custody and Parental Rights Notice as described under Subsection (b) of this Section, which may be declined by the mother;

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(7) provide, or make a good faith effort to provide, to the mother a Medical Information Questionnaire as described under Subsection (c) of this Section, which may be declined by the mother or voluntarily filled out at the time the child is relinquished;

(8) notify Child Protective Services of acceptance of emergency protective custody of the relinquished newborn infant on behalf of the authorized Safe Haven as soon as possible, but in no event later than twenty-four (24) hours after accepting custody of the newborn infant; and

(9) provide to Child Protective Services any medical information pertinent to the infant’s health, including, but not limited to, information obtained pursuant to the Medical Information Questionnaire described in Subsection (c) of this Section, that has been received by or is in the possession of the authorized Safe Haven, not to include any personally identifying information pertaining to the relinquishing mother.

(b) Custody and Parental Rights Notice. Every notice provided pursuant to Subsection (a)(6) of this Section shall contain the following notice in no less than twelve (12)-point type:

NOTICE: YOU HAVE FORTY-EIGHT (48) HOURS TO REQUEST RETURN OF YOUR CHILD. TO DO SO, YOU MUST SUBMIT A REQUEST FOR REUNIFICATION TO CHILD PROTECTIVE SERVICES. IF YOU SUBMIT A REQUEST FOR REUNIFICATION, YOU WILL WAIVE YOUR RIGHT TO ANONYMITY AND CONFIDENTIALITY, MEANING CHILD PROTECTIVE SERVICES COULD IDENTIFY YOU AND CONTACT YOU. AFTER FORTY-EIGHT (48) HOURS, YOU WILL HAVE TO PETITION THE SUPERIOR COURT OF GUAM TO PREVENT FINAL TERMINATION OF YOUR PARENTAL RIGHTS.

(c) Medical Information Questionnaire. The Medical
Information Questionnaire described under Subsection (a)(7) of

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this Section shall not require any personally identifying information about the newborn infant or the mother relinquishing the newborn infant, other than the identification code assigned to the infant. Every questionnaire provided under Subsection (a)(7) of this Section shall begin with the following notice in no less than twelve (12)-point type:

NOTICE: THE INFANT YOU HAVE BROUGHT IN TODAY MAY HAVE SERIOUS MEDICAL NEEDS IN THE FUTURE THAT WE DON’T KNOW ABOUT TODAY. SOME ILLNESSES, INCLUDING CANCER, ARE BEST TREATED WHEN WE KNOW ABOUT FAMILY MEDICAL HISTORIES. IN ADDITION, SOMETIMES RELATIVES ARE NEEDED FOR LIFE-SAVING TREATMENTS. TO MAKE SURE THIS BABY WILL HAVE A HEALTHY FUTURE, YOUR ASSISTANCE IN FULLY COMPLETING THIS QUESTIONNAIRE IS ESSENTIAL. THANK YOU.