(a)The state office of vital records services shall
establish an abortion reporting form which shall be used after
May 27, 1977 for the reporting of every abortion performed or
prescribed in this state. The form shall include the following
items in addition to the information necessary to complete the
form subject to subsection (b) of this section:
(i)The age of the pregnant woman;
(ii)The type of procedure performed or prescribed;
(iii)Complications, if any;
(iv)A summary of the pregnant woman's obstetrical
history regarding previous pregnancies, abortions and live
births;
(v)The length and weight of the aborted fetus or
embryo, when measurable or the gestational age of the aborted
fetus or embryo in completed weeks at the time of abortion;
(vi)Type of facility where the abortion i
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(a) The state office of vital records services shall
establish an abortion reporting form which shall be used after
May 27, 1977 for the reporting of every abortion performed or
prescribed in this state. The form shall include the following
items in addition to the information necessary to complete the
form subject to subsection (b) of this section:
(i) The age of the pregnant woman;
(ii) The type of procedure performed or prescribed;
(iii) Complications, if any;
(iv) A summary of the pregnant woman's obstetrical
history regarding previous pregnancies, abortions and live
births;
(v) The length and weight of the aborted fetus or
embryo, when measurable or the gestational age of the aborted
fetus or embryo in completed weeks at the time of abortion;
(vi) Type of facility where the abortion is performed
(i.e., hospital, clinic, physician's office, or other).
(b) In addition to the requirements provided in subsection
(a) of this section, the form shall not contain the name or the
address of the pregnant woman or any other common identifiers
including a social security number, driver's license number or
any other information or identifier that would tend to disclose
the identity of the pregnant woman or any other participant
other than the reporting physician.
(c) The form shall be completed by the attending physician
and submitted to the state health officer as defined in W.S. 9-
2-103(e) within twenty (20) days after the abortion is
performed. A physician who fails to submit a form under this
section within one hundred ten (110) days after an abortion is
performed shall be reported to the board of medicine by the
state health officer. The board of medicine shall investigate
the matter and may take disciplinary action under W.S. 33-26-
402(a)(x).
(d) Termination of a pregnancy by natural miscarriage or
as a treatment consequence of a natural miscarriage shall not be
reported as an abortion pursuant to this section, provided that
the miscarriage was not induced with the intent of terminating
the pregnancy. An alleged miscarriage that was induced with the
intent of terminating a pregnancy shall be reported as an
abortion pursuant to this section.