(a) Within ninety days of the effective date of this article, the secretary of the Department of Health and Human Resources shall prepare a reporting form for physicians containing a reprint of this article and listing:
- (1) The number of females to whom the information described in subsection (a), section two of this article was provided;
- (2) The number of females to whom the physician or an agent of the physician provided the information described in subsection (b), section two of this article;
- (3) The number of females who availed themselves of the opportunity to obtain a copy of the printed information described in section three of this article other than on the website;
- (4) The number of abortions performed in cases involving medical emergency; and
- (5) The number of abortions performed in cases not involving a medical emergency.