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  Ref-04100 Consent to Deliver in a Birth Center, AHCA Form 3130-3003, November 2013  

 
59A11-010 Consent to Deliver in a Birth Center AHCA Form 3130-3003.doc
Form used by clients to document written consent to deliver in a birth center.   4/3/2014
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Agency:

Agency for Health Care Administration
59A. Health Facility and Agency Licensing

Description:

Form used by clients to document written consent to deliver in a birth center.

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