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TITLE 16 - ECONOMIC REGULATION
PART 4 - TEXAS DEPARTMENT OF LICENSING AND REGULATION
CHAPTER 115 - MIDWIVES
SUBCHAPTER 115.112.html - null
SECTION/RULE §115.112 - Termination of the Midwife-Client Relationship
Chapter Review Date 03/15/2021

A midwife shall terminate care of a client only in accordance with this section unless a transfer of care results from an emergency situation.(1) Once the midwife has accepted a client, the relationship is ongoing and the midwife cannot refuse to continue to provide midwifery care to the client unless:(A) the client has no need of further care;(B) the client terminates the relationship; or(C) the midwife formally terminates the relationship.(2) The midwife may terminate care for any reason by:(A) providing a minimum of 14 days written notice, during which the midwife shall continue to provide midwifery care;(B) making an attempt to tell the client in person and in the presence of a witness of the midwife's wish to terminate care and the date that care will be terminated;(C) providing a list of alternate health care providers; and(D) documenting the termination of care in midwifery records.(3) If a client elects not to accept a non-emergency transfer, the midwife shall:(A) terminate the midwife-client relationship; or(B) manage the client in collaboration with a physician or another licensed health care professional who has current obstetric or pediatric knowledge and who is working under the supervision and delegation of a physician.

Source Note: The provisions of this §115.112 adopted to be effective October 1, 2016, 41 TexReg 4477; amended to be effective May 1, 2019, 44 TexReg 1849.

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