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Reporting a Death or Serious Injury

death

Service providers are required to notify the OMHDD within 24 hours of the death or serious injury of a client. The OMHDD reviews reports of deaths and serious injuries of persons receiving services or treatment for mental illness, developmental disabilities, chemical dependency, or emotional disturbance.

What Makes an Injury Serious Enough to Report? (PDF)- 2019

Report Deaths and Serious Injuries Brochure (PDF)- 2018

Death and Serious Injury reports can now be submitted online.  Completion of the webform is the preferred method of submission to OMHDD.  Please note that the online webforms cannot be saved.  Each report needs to be completed in one session.  Enter the information and click the “Next” button, verify your information, and click the “Submit” button.  You will then have the option to print the form for your records.  Diagnosis and medication information may be entered directly into the online webform or faxed.  If you choose to fax additional information or reports to the OMHDD, please fax it to 651-797-1950 along with the case number displayed upon submission of the report when using the webform.  The OMHDD can receive faxes twenty-four hours a day.  (Please be advised that reporters also required to submit reports to DHS should continue to do so.)

You can report a Death here – Death Report webform

You can report a Serious Injury here – Serious Injury webform

The Death and Serious Injury reporting forms are downloadable here.

The Fax Cover Sheet is downloadable here

If you have questions, please call 651-757-1800 or toll free 1-800-657-3506 and ask to speak with the Medical Review Coordinator.

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