# C.R.S. § 12-225-104: 12-225-104. Requirement for registration with the division - annual fee - grounds for revoca > Colorado · Statutes · In force URL: https://www.frixlaw.com/law-library/statutes/STATE_CO_T12_A225_S12-225-104 ## Section - **Citation:** C.R.S. § 12-225-104 - **Heading:** 12-225-104. Requirement for registration with the division - annual fee - grounds for revoca - **Jurisdiction:** Colorado - **Kind:** Statutes - **Status:** In force - **Text as of:** August 14, 2026 - **Source:** Compiled text - **Location:** CO Code / Title 12 / Article 225 / Section 12-225-104 ## Text 12-225-104. Requirement for registration with the division - annual fee - grounds for revocation. (1) Every direct-entry midwife shall register with the division by applying to the director in the form and manner the director requires. The application shall include the information specified in section 12-225-105. (2) Any changes in the information required by subsection (1) of this section shall be reported within thirty days after the change to the division in the form and manner required by the director. (3) Every applicant for registration shall pay a registration fee to be established by the director in the manner authorized by section 12-20-105. Registrations issued pursuant to this article 225 are subject to the renewal, expiration, reinstatement, and delinquency fee provisions specified in section 12-20-202 (1) and (2). Any person whose registration has expired shall be subject to the penalties provided in this article 225 or section 12-20-202 (1). (4) To qualify to register, a direct-entry midwife must have successfully completed an examination evaluated and approved by the director as an appropriate test to measure competency in the practice of direct-entry midwifery, which examination must have been developed by a person or entity other than the director or the division and the acquisition of which shall require no expenditure of state funds. The national registry examination administered by the Midwives Alliance of North America, or its successor, must be among those evaluated by the director. The director is authorized to approve any existing test meeting all the criteria set forth in this subsection (4). In addition to successfully completing the examination, a direct-entry midwife is qualified to register if the person has: (a) Attained the age of nineteen years; (b) Earned at least a high school diploma or the equivalent; (c) Successfully completed training approved by the director in: (I) The provision of care during labor and delivery and during the antepartum and postpartum periods; (II) Parenting education for prepared childbirth; (III) Aseptic techniques and universal precautions; (IV) Management of birth and immediate care of the mother and the newborn; (V) Recognition of early signs of possible abnormalities; (VI) Recognition and management of emergency situations; (VII) Special requirements for home birth; (VIII) Recognition of communicable diseases affecting the pregnancy, birth, newborn, and postpartum periods; and (IX) Recognition of the signs and symptoms of increased risk of medical, obstetric, or neonatal complications or problems as set forth in section 12-225-106 (3); (d) Acquired practical experience including, at a minimum, experience with the conduct of at least one hundred prenatal examinations on no fewer than thirty different women and observation of at least thirty births; (e) Participated as a birth attendant, including rendering care from the prenatal period through the postpartum period, in connection with at least thirty births; and (f) Filed documentation with the director that the direct-entry midwife is currently certified by the American Heart Association or the American Red Cross to perform adult and infant cardiopulmonary resuscitation ("CPR"). (5) Effective July 1, 2003, in order to be deemed qualified to register, a direct-entry midwife must have graduated from an accredited midwifery educational program or obtained a substantially equivalent education approved by the director. The educational requirement does not apply to direct-entry midwives who have registered with the division before July 1, 2003. (6) For purposes of registration under this article 225, no credential, licensure, or certification issued by any other state meets the requirements of this article 225, and therefore there is no reciprocity with other states. ## Nearby sections - [C.R.S. § 12-225-101 12-225-101. Scope of article - exemptions - legislative declaration](https://www.frixlaw.com/law-library/statutes/STATE_CO_T12_A225_S12-225-101.md) - [C.R.S. § 12-225-102 12-225-102. Applicability of common provisions](https://www.frixlaw.com/law-library/statutes/STATE_CO_T12_A225_S12-225-102.md) - [C.R.S. § 12-225-103 12-225-103. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_CO_T12_A225_S12-225-103.md) - [C.R.S. § 12-225-104 12-225-104. Requirement for registration with the division - annual fee - grounds for revoca](https://www.frixlaw.com/law-library/statutes/STATE_CO_T12_A225_S12-225-104.md) - [C.R.S. § 12-225-105 12-225-105. Mandatory disclosure of information to clients](https://www.frixlaw.com/law-library/statutes/STATE_CO_T12_A225_S12-225-105.md) - [C.R.S. § 12-225-106 12-225-106. Prohibited acts - practice standards - informed consent - emergency plan - risk](https://www.frixlaw.com/law-library/statutes/STATE_CO_T12_A225_S12-225-106.md) - [C.R.S. § 12-225-107 12-225-107. Limited use of certain medications - limited use of sutures - limited administra](https://www.frixlaw.com/law-library/statutes/STATE_CO_T12_A225_S12-225-107.md) - [C.R.S. § 12-225-108 12-225-108. Director - powers and duties - rules](https://www.frixlaw.com/law-library/statutes/STATE_CO_T12_A225_S12-225-108.md) - [C.R.S. § 12-225-109 12-225-109. Disciplinary action authorized - grounds for discipline - injunctions - rules](https://www.frixlaw.com/law-library/statutes/STATE_CO_T12_A225_S12-225-109.md) - [C.R.S. § 12-225-110 12-225-110. Unauthorized practice - penalties](https://www.frixlaw.com/law-library/statutes/STATE_CO_T12_A225_S12-225-110.md) - [C.R.S. § 12-225-111 12-225-111. Confidential agreement to limit practice](https://www.frixlaw.com/law-library/statutes/STATE_CO_T12_A225_S12-225-111.md) - [C.R.S. § 12-225-112 12-225-112. Assumption of risk - no vicarious liability - professional liability insurance r](https://www.frixlaw.com/law-library/statutes/STATE_CO_T12_A225_S12-225-112.md) - [C.R.S. § 12-225-113 12-225-113. Confidential files](https://www.frixlaw.com/law-library/statutes/STATE_CO_T12_A225_S12-225-113.md) - [C.R.S. § 12-225-114 12-225-114. Repeal of article - subject to review](https://www.frixlaw.com/law-library/statutes/STATE_CO_T12_A225_S12-225-114.md) --- Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_CO_T12_A225_S12-225-104. Check the current official text before relying on it. Not legal advice.