Public Health Nurse Protocols
Public Health Nurses are required by law to submit the Public Health Services
Report Form and Report of Contact Form when there is a suspected SIDS
death.
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Report Form (pdf 64kb)
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Report of Contact Form (pdf 44kb)
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Instructions for Completing the Forms (pdf 135kb)
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Definitions (pdf 127kb)
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Both forms must be filled out and returned within 30 days of the infant's
death to:
California SIDS Program
11344 Coloma Road, Suite 560
Gold River, CA 95670-6304
Toll-free within California: 800-369-SIDS (7437)
Phone: 916-851-SIDS (7437)
FAX: 916-851-5937
Email: info@californiasids.com
Autopsy and Death Scene Protocols
Autopsy and death scene protocols are not currently available online. For
more information or to request materials, please contact:
California Department of Health Services
Maternal & Child Health Branch
Epidemiology and Evaluation Section
1615 Capitol Avenue, MS 8304
P.O. Box 997420
Sacramento, CA 95899-7420
916-650-0323
916-650-0308 (Fax)
Coroner Protocols
Coroners are required by law to report the information pertaining to a
SIDS death within 24 hours after the gross autopsy. The coroner should
report the death to the health department of residence. The coroner should
also complete a Coroner Notification Card DHS 4411 (8/02) and send it
to the California SIDS Program. For more information or to request forms,
please contact the California SIDS Program. |
