Pamphlets Required By DSHS
In compliance with Texas Health and Safety Code, Chapter 81, Section 81.090,"Serological Testing During Pregnancy," effective January 1, 2010:
__ If You Are Pregnant or Think You May Be Pregnant, You Need To Know about HIV
__ Pregnant? Protect Your Baby From Syphilis
__ Pregnant? Protect Your Baby From Hepatitis B
__ Pregnant? Protect Your Baby From Rubella
In compliance with Texas law (SB 316), effective September 1, 2005:
__ Information for Parents of Newborn Children
__ Mental Health, How to Get Help
In compliance with Texas law (HB 709), effective 2007:
__ Information on Umbilical Cord Blood Banking and Donation
In compliance with Texas law (HB 1240), effective September 1, 2009, I have read and understand the following from the DSHS website:
__ A Parent's Guide to Raising Healthy, Happy Children
Other Important Documents
__ 10 Questions About Pregnancy and HIV
__ Critical Congenital Heart Disease
I have received, read and understand all the documents above.
______________________________________
Mother's Name (Please Print Clearly)
______________________________________ __________
Mother's Signature Date