641—89.12 (135L) Initial appointment of a pregnant minor with a licensed physician from whom an abortion is sought and certification procedure for the decision-making assistance program.
	 89.12(1) A licensed physician from whom a pregnant minor is seeking the performance of an abortion shall offer the viewing of the video and the written decision-making materials to the pregnant minor during the initial appointment relating to those services.
	 89.12(2) The pregnant minor shall sign and date the certification form provided in the written decision-making materials or an exact replica certifying that she has been offered a viewing of the video and the written decision-making materials.
	  a.   	 The minor shall complete a certification form for the licensed physician providing medical services relating to the termination of the minor’s pregnancy.
	  b.   	 The licensed physician from whom an abortion is sought shall keep the original certification form as a part of the minor’s medical record relating to the termination of the pregnancy.
	  c.   	 A copy of the completed certification form shall be provided to the pregnant minor.
	 89.12(3) A licensed physician shall not knowingly perform an abortion on a pregnant minor prior to obtaining the completed certification form and completing the notification process.