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Indiana State Department of Health

ISDH Home > Rules > Legal References Legal References

Notification of Blood or Body Fluid Exposure

Information for Emergency Medical Services Providers and Employers
Instructions for Completing the Notification of Blood or Body Fluid Exposure
Emergency Medical Services Provider State Form Number 51467 (9-03)

Smallpox Vaccine Injury Compensation Program

Notification of Blood or Body Fluid Exposure

Fireworks Injury Reporting Form

Download the Fireworks Injury Reporting Form (State Form 51497) and either Fax or mail to the Indiana State Department of Health.

Fireworks Injury Reporting Form

Please fax this form to (317) 233-8199; Attn: Injury Epidemiologist
Or mail to: Indiana State Department of Health
2 North Meridian Street
Indianapolis, IN 46204
Please direct any calls to (317) 233-7716

Confidential Case Report Forms

NOTE:  DO NOT FAX Case Report Forms; completed Case Report Forms should be mailed to:

Office of Clinical Data and Research
Indiana State Department of Health
2 N. Meridian St., 6-C
Indianapolis, IN 46204

ADULT FORM    (>13 years of age at time of diagnosis)

PEDIATRIC FORM  (<13 years of age at time of diagnosis)

Additional Reporting Resources:

Link to Communicable Disease Rule: PDF

Link to Indiana Reporting Law: http://www.ai.org/legislative/ic/code/title16/ar41/ch2.html#ic16-41-2-1

Link to Instructions for filling out an Adult Confidential Case Report form, and highlighting
the new areas of the form: Microsoft PowerPoint Presentation 
OR PDF Version

Indoor and Radiologic Health

The Indoor and Radiologic Health (IRH) program has two laws and two regulations that govern its activities:

Laws

  • IC 16-41-35: Radiation: Radiation Control PDF
  • IC 16-41-38: Radon Gas PDF

Regulations

  • 410 IAC 5: Radiological Health
    • 410 IAC 5-1: General Provisions PDF
    • 410 IAC 5-2: Registration of Radiation Machine Registration and Services PDF
    • 410 IAC 5-3: Licensing of Radioactive Material PDF
    • 410 IAC 5-4: Protection and Exposure Standards PDF
    • 410 IAC 5-5: Non-Medical Radiography PDF
    • 410 IAC 5-6.1: X-rays in the Healing Arts PDF
    • 410 IAC 5-7: Sealed Radioactive Sources in the Healing Arts PDF
    • 410 IAC 5-8: Radiation Safety Requirements for Analytical X-ray Equipment PDF
    • 410 IAC 5-9: Radiation Safety Requirements for Particle Accelerators PDF
    • 410 IAC 5-10: Notices, Instructions and Reports to Workers; Inspections PDF
    • 410 IAC 5-10.1: Wireline Service Operations and Subsurface Tracer Studies; Safety Standards PDF
  • 410 IAC 5.1: Radon Rule PDF
  • 410 IAC 5.2, Radiography, Nuclear Medicine, and Radiation Therapy Licensing PDF

Morbid Obesity

Reporting Rules

IC 16-40-3