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.
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