Section 640.APPENDIX H   Written Protocol for Consultation/Transfer/Transport

Section 640.EXHIBIT C   Level I:  Maternal and neonatal patients to be cared for at ________________ hospital (Level III hospital or Administrative Perinatal Center)

1)         Maternal

The maternal patient with an uncomplicated current pregnancy.

2)         Neonatal

The neonatal patient greater than 34 weeks gestation or greater than 2000 grams without risk factors and infants with physiologic jaundice.

(Source:  Amended at 35 Ill. Reg. 2583, effective January 31, 2011)