Indiana Code § 16-34-2-5.1

Documentation of signatures and credentials of physicians and other providers
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Sec. 5.1. Each form or other written document that must be completed or provided by a physician or other provider under this chapter, including a signed copy retained in the pregnant woman's patient file, must include the following: (1) A line for the signature of the physician or other provider. (2) A line for the professional credentials and license number of the physician or other provider.

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