AGENCY: Department of Health and Human Services. Community Health and Well-Being. Division of Family Health.

SERIES: 28490
TITLE: Informed consent authorization for pre-abortion ultrasonic imaging
DATES: 1996-
ARRANGEMENT: Numerical by Department of Health authorization number

DESCRIPTION: These records document patient authorization to receive an ultrasonic imaging procedure prior to abortion. Supplied information includes patient's name, date of birth, demographic data, referring physician, estimated gestational age, verification of abortion counseling, and date of service. The department collects this information, as required by state law, in order to provide and pay for pre-abortion ultrasounds.

RETENTION

Retain for 7 year(s) after separation or until date of birth

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series is authorized by Archives general schedule Patient and client case files, GRS-1706

AUTHORIZED: 04/17/2014

FORMAT MANAGEMENT

Paper: Retain in Office for 7 years after last visit or until four years past 18 birthday, whichever is greatest and then destroy.

APPRAISAL

Administrative

PRIMARY DESIGNATION

Private. Utah Code 63G-2-302(1)(b)

---