Get Instructions For Completing Vital Records User Access Request Form ... - Health Mo

Filling out the Vital Records User Access Request Form is essential for professionals who need access to vital records in Missouri. This guide provides clear and detailed instructions to ensure a smooth and efficient completion of the form online.

Follow the steps to complete your request online.

1. Click the ‘Get Form’ button to obtain the Vital Records User Access Request Form and open it for editing.
2. Select your role under the Certifier/Decertifier section. If you serve as a physician, check the respective box. For medical examiners or coroners, ensure to specify your county.
3. Physicians must enter their license number along with their National Provider Identifier (NPI) number in the designated fields.
4. If you are a medical examiner or coroner, make sure to fill in the county section accurately to facilitate processing.
5. Physicians and physician assistants should submit their user access forms together to the Bureau of Vital Records for accurate processing.
6. Complete the identifying information section by providing your name, office address, social security number (last four digits), email address, and preferred method of contact.
7. Indicate the relevant role(s) for access by checking the appropriate boxes related to data entry and certifier roles.
8. For additional roles like funeral director or embalmer, include the facility name and complete address.
9. Once all sections are filled out, carefully review your form to ensure that all information is accurate and complete.
10. Finally, save your changes, and you may choose to download, print, or share the completed form as necessary.

Take the important step to manage your vital records access by completing the form online today.