These online reporting forms are intended for hospital and hospice staff only. If a death has occurred outside of a medical facility without medical attendance, please call 911.
Clark County Medical Examiner’s Office reviews all deaths that occur in Clark County. To assist in streamlining the reporting process, please utilize these online reporting forms.
If there are questions about the potential of the Medical Examiner’s Office having jurisdiction of the cause of death or if there is additional information to communicate with our staff, please complete the online reporting form then call our office, 564.397.8405 option 3.
Hospital online reporting
Guidance for hospitals reporting deaths:
- Complete each section in the reporting form, as applicable.
- The reported details should coincide with medical records, such as date of birth, date of death, time of death.
- If there are multiple MRN’s due to a trauma name, please enter both.
- If there are circumstances our office should be aware of, please complete the online form then call our office to discuss, 564.397.8405 option 3.
- If you are aware of religious customs that require timely attention for disposition, please communicate with the funeral home.
The Clark County Medical Examiner’s Office reviews every death that occurs in Clark County. Thank you for notifying our office and assisting in streamlining this process.
Hospice online reporting
Guidance for hospice agencies reporting deaths:
- Complete each section in the reporting form, as applicable.
- The reported details should coincide with medical records, such as date of birth, date of death, time of death.
- If there are circumstances our office should be aware of, please complete the online form then call our office to discuss, 564.397.8405 option 3.
- If you are aware of religious customs that require timely attention for disposition, please communicate with the funeral home.
The Clark County Medical Examiner’s Office reviews every death that occurs in Clark County. Thank you for notifying our office and assisting in streamlining this process.