Hospital Reporting Form – Lay Midwife Patient Transfer
Act 977 of the 2019 Regular Session of the Arkansas Legislature requires that “A hospital or licensed healthcare facility shall report to the Department of Health when a known transfer occurs of a patient from the care of a lay midwife during the labor and delivery process to the hospital or licensed healthcare facility.” Transfer reports regarding a lay midwife patient during the labor and delivery process may be filed electronically through the Lay Midwife Patient Transfer Reporting Form below or via call, mail, fax or email directed to:
Women’s Health Section
Arkansas Department of Health
4815 W. Markham, Slot 16
Little Rock, AR 72205
Phone: (501) 661-2480
Fax: (501) 661-2464
[email protected]
