.09 Patient's Refusal to Transfer Care.

A. If a patient chooses to give birth at home in a situation prohibited by this chapter or in which a licensed direct-entry midwife recommends transfer, the licensed direct-entry midwife shall:

(1) Transfer care of the patient to a health care practitioner; and

(2) Complete the standard form developed under Regulation .10 of this chapter and:

(a) Submit the completed form to the accepting health care practitioner; and

(b) Cease to take responsibility for the patient's​ pregnancy care within 1 week after the transfer.

B. If birth is imminent and the patient refuses to be transferred after the licensed direct-entry midwife determines that a transfer is necessary, the licensed direct-entry midwife shall:

(1) Call 9-1-1 and remain with the patient until emergency services personnel arrive; and

(2) Transfer care and give a verbal report of the care provided to the emergency medical services providers.