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RULE §115.112Termination of the Midwife-Client Relationship

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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