A health care provider who diagnoses a pregnant woman's unborn child as having a life-threatening or life-limiting illness or medical condition shall, at the time of the diagnosis:
(1) provide the pregnant woman with a written copy of:
(A) the perinatal palliative care informational materials and list of the perinatal palliative care providers and programs described by Section 161.753; and
(B) the perinatal palliative care certification form described by Section 161.754; and
(2) obtain from the pregnant woman the signed perinatal palliative care certification form and place the form in the pregnant woman's medical records.