S.I. No. 597/2018 - Health (Regulation of Termination of Pregnancy) Act 2018 (Notifications) Regulations 2018

1. Medical Council registration number of the medical practitioner who carried out the termination of pregnancy

.............. Medical Council registration number of medical practitioner

2. Please indicate whether the termination of pregnancy was carried out in respect of the pregnant woman pursuant to a section 9 certification, section 10 certification, section 11 certification or section 12 certification (tick as appropriate)

□ Risk to life or health (section 9)

□ Risk to life or health in emergency (section 10)

□ Condition likely to lead to death of foetus (section 11)

□ Early pregnancy (section 12)

3(a). If the termination of pregnancy was carried out pursuant to a

section 9

certification, the Medical Council registration numbers of the medical practitioners who made the certification concerned

..............

Medical Council registration number of Medical Practitioner 1 — Obstetrician

..............

Medical Council registration number of Medical Practitioner 2 — Appropriate Medical Practitioner

3(b). If the termination of pregnancy was carried out pursuant to a

section 10

certification (whether made before or after the termination of pregnancy was carried out), the Medical Council registration number of the medical practitioner who made the certification concerned

..............

Medical Council registration number of Medical Practitioner

3(c). If the termination of pregnancy was carried out pursuant to a

section 11

certification, the Medical Council registration numbers of the medical practitioners who made the certification concerned

..............

Medical Council registration number of Medical Practitioner 1 — Obstetrician

..............

Medical Council registration number of Medical Practitioner 2 — Relevant Specialty

3(d). If the termination of pregnancy was carried out pursuant to a

section 12

certification, the Medical Council registration number of the medical practitioner who made the certification concerned

..............

Medical Council registration number of Medical Practitioner

3. The form specified in the Schedule is prescribed for the purposes of—

(

a

) the record to be kept under section 20(1)(

a

) of the Act of 2018, and

(

b

) the copy of the record to be forwarded to the Minister under section 20(1)(

b

) of the Act of 2018.

4. The county of residence, or where the woman resides outside the State, the place of residence, of the pregnant woman in respect of whom the termination of pregnancy was carried out

..............

County of residence, or place of residence (if residing outside the State), of pregnant woman

5. Date on which the termination of pregnancy was carried out

..............

(DD/MM/YYYY)

GIVEN under my Official Seal,

21 December 2018.

SIMON HARRIS,

Minister for Health.

EXPLANATORY NOTE

(This note is not part of the instrument and does not purport to be a legal interpretation.)

These Regulations may be cited as the

Health (Regulation of Termination of Pregnancy) Act 2018

(Notifications) Regulations 2018.

These Regulations provide for a prescribed form for the purpose of notification under Section 20 of the Act of 2018.

Notice of the making of this Statutory Instrument was published in

“Iris Oifigiúil” of

8

th January

, 2019.

I, SIMON HARRIS, Minister for Health, in exercise of the powers conferred on me by

section 3

of the

Health (Regulation of Termination of Pregnancy) Act 2018

(No. 31 of 2018), hereby make the following regulations