| (a) The information may be reported either on the reporting form set out in Section 176.9 of this chapter or in an alternate format. (b) If an alternate format is used, the information must include at least the information requested in the reporting forms and must be legible. (c) If an alternate format is used for Part II of the reporting form and a lawsuit has been filed on the health care liability claim, there must be enough identification data provided to enable board staff to match the report to the original report of the lawsuit. The data required to accomplish this include: (1) name and license number of the defendant licensee; (2) name of plaintiff; (3) cause number; (4) court; and (5) county of suit. (d) A court order or settlement agreement is an acceptable alternative submission for Part II. An order or settlement agreement should contain the necessary information to match the report to the original report of the lawsuit. If the order or agreement is lacking some of the required data, the additional information may be legibly written on the order or agreement. |
