When an establishment that does not have the three units mentioned in article R. 6123-39 does not join a specific regional scheme, the Director General of the Regional Health Agency invites the establishment to enter into an agreement with one or more health establishments that have the units it does not have, in order to ensure the referral of pregnant women, to organise transfers, possibly in an emergency, of mothers and newborns between these establishments and to specify the transmission of information.
These agreements are drawn up and signed by the representatives of the establishments after obtaining the opinion of the representative bodies mentioned in articles L. 6144-1 and L. 6144-3, after obtaining the opinion of the medical commission provided for in article L. 6161-8 or the opinion of the medical conference provided for in article L. 6161-2. They are submitted to the Director General of the Regional Health Agency for approval and do not come into force until this approval has been given.