- Births
- Adoption Matching Program: Birth Parent Contact Preference (State Form 56535)
- Record of Adoption State Form 5438
- July 1, 2010 and after - Hospital Paternity Affidavit Form - to be completed by the Hospitals/Birthing Centers only
- July 1, 2010 and after - Local Health Department Paternity Affidavit Form - to be completed by the Local Health Department only
- Application for Search and Certified Copy of Birth Record - State Form 49607 (R10 / 9-18) Word | PDF
- Communicable Diseases
- Adult HIV/AIDS Confidential Case Report
- Animal Bites Report - State Form 14702 (R3/4-04)
- Confidential Report of Communicable Diseases - State Form 43823
- Hepatitis B and Delta Hepatitis Case Investigation - State Form 52587 (R/11-09)
- Hepatitis C Case Investigation - State Form 52588 (R/11-09)
- Indiana Confidential Sexually Transmitted Disease Report - State Form 56459
- Perinatal Hepatitis B Case Investigation - State Form 52589 (2-06)
- Pregnant Women HIV Test History and Assessment - State Form 52048 (R/3-11)
- TB - Monthly TB Follow-Up Report - State Form 48092
- TB - Report of Latent TB Infection - State Form 49894
- TB - Report of Tuberculosis - State Form 14058
- TB - Tuberculosis Waiver Request - State Form 46595
- Vaccine Administration Record, State Form 54642 (05-06)
- Deaths
- HIPAA
- Immunizations
- Temperature Log for Vaccines (Celsius)
- Temperature Log for Vaccines (Fahrenheit)
- Refusal To Vaccinate
- Screening Questionnaire for Adult Immunization
- Screening Questionnaire for Child and Teen Immunization
- Vaccine Administration Record for Adults
- Vaccine Administration Record for Children and Teens
- Vaccine Adverse Event Reporting System
- Vaccine Information Statements Q and A
- Indiana Clerk of Court
- Laboratories
- Marriages
- Medical Radiology
- Application for Radiology License (Not License Renewal)
- Application for Approval of Radiology Program
- Application for Proficiency Certification for Limited Radiographer
- Board Form X
- Radioactive Materials Registration Application
- Radiation Machine Registration Application
- Renew or Verify a License or Registration
- All licensed individuals (Nuclear Medicine, Radiation Therapy and Radiologic Technologists) may renew their licenses online through the License Express online licensing system
- Online renewal is now available for individuals that hold licenses in multiple categories (e.g. Nuclear Medicine and Radiologic Technology). Please pay for each separately. Notify our office at MedicalRadiology@isdh.IN.gov that you have renewed more than one license. We will initiate the process of refunding the appropriate fees.
- School Screening
- Terminations
Terminated pregnancies are reported to the Indiana Department of Health by performing physicians in accordance with Indiana Code 16-34-2.
Terminations must be submitted electronically in accordance with Indiana Code 16-34-2-5.5. The reporting system was developed for the purpose of reporting terminations in an electronic format. All physicians that will be submitting terminated pregnancy reports in the system must be registered; to register, users must submit a completed User Agreement Form. A training presentation is available to assist users in learning the system.
- TPR Submission Guidance (updated 7/19/2023)
- Enrollment Steps
- TPR System Training
- Database Registration of Indiana's Vital Events (DRIVE)
- DRIVE ITOP User Guide
- Abortion Complications Report
- Instructions included at the end of the document.
