Eye Prophylaxis Parental Opt-Out Form
As of January 2019, parents can opt out of eye prophylaxis, providing they request to opt out in writing, that an informed choice discussion has been held with the health care provider, and that the health care provider determines there is no serious risk to the newborn. The AOM has created a template form that midwives may choose to use to document a parental opt out. This form supplements midwives' usual charting of eye prophylaxis informed choice discussions.
AOM Eye Prophylaxis Position Statement