Get Form No. 4 (see Rule 7) Medical Certificate Of ...

Filling out the FORM NO. 4 (See Rule 7) Medical Certificate of Cause of Death is an important process that must be approached with care. This guide provides clear, step-by-step instructions to assist users in completing this form accurately and confidently, ensuring compliance with necessary requirements.

Follow the steps to fill out the form correctly:

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. In the first section, enter the name of the hospital where the deceased was admitted in the designated field.
3. Provide the details about the deceased's name, selecting either ‘Male’ or ‘Female’ depending on the deceased's sex.
4. If the deceased was one year or older, enter their age in completed years. If under one year, indicate age in months, and for those less than a month, write the age in days. If the deceased was under one day, input their age in hours.
5. In the 'Cause of Death' section, clearly state the immediate cause of death in line (a). Remember, this should reflect a specific disease or condition and avoid non-specific terms.
6. If applicable, fill in the antecedent cause in line (b) and any further morbid conditions in line (c), providing as much detail as necessary to clearly establish the cause.
7. In Part II, list any other significant conditions that contributed to the death but are not directly related to the primary cause.
8. Choose the manner of death from the options provided: Natural, Accident, Suicide, Homicide, or Pending Investigation.
9. If the deceased was female, indicate whether the death was associated with pregnancy and whether there was a delivery.
10. Enter the name and signature of the medical attendant certifying the cause of death, and date of verification at the bottom of the form.
11. Review all entries for accuracy, make necessary corrections, and once completed, save the changes.
12. Download, print, or share the form as required, ensuring it is sent to the relevant Registrar along with FORM NO. 2 (Death Report).

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