The Abortion Complications Reporting Act, Idaho Code Title 39 Chapter 95, requires every hospital, licensed health care facility, and individual medical practitioner to file a written report with the Idaho Department of Health and Welfare if any woman comes under their care and reports any complication or requires medical treatment that is a direct or indirect result of an abortion (IC 39-9504(1)).

If a woman reports one of the items outlined here to her medical practitioner, and the item is an abnormal or deviant process or event arising from the performance or completion of an abortion based on the medical practitioner’s reasonable medical judgment, it must be reported using this form to the Bureau of Vital Records and Health Statistics if the medical provider is one of the entities or medical practitioners subject to reporting under the act.

The report must be completed within 90 days from the last date of treatment or other care or consultation for the complication. The information will be kept confidential and used to prepare a comprehensive annual statistical report for the Idaho Legislature.