Indiana does not use a paper medical certification for death records: physicians, NPs and PAs certify cause of death online in DRIVE, the Database Registration of Indiana's Vital Events. The medical certifier completes the medical section of the death record, and coroners use the same system for their cases. The Indiana Department of Health publishes user guides, recorded training and an amendment guide.
The medical certifier, a physician, NP or PA, or the coroner completes the medical certifier section of the death record in DRIVE.
Download the current version from the source each time; forms change without notice.
DRIVE (Database Registration of Indiana's Vital Events) death medical certification
Indiana Department of Health, Vital Records takes this form through its online services or your EMR, so there is no PDF to fill. Vero Scribe writes the visit note it draws on, so the details are ready when you complete it.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
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Create an Access Indiana account, then click the DRIVE tile within Access Indiana to submit an e-request that links your DRIVE profile. The Indiana Department of Health offers recorded medical certifier training, a user guide, a quick guide and a troubleshooting guide.
No paper medical certification form is listed on the Indiana Department of Health's DRIVE page. Medical certifiers complete the cause-of-death certification electronically in DRIVE, and amendments follow the department's Amendment Guide for Coroners and Medical Certifiers.