Indiana Certified Direct Entry Midwifery Committee

Licensing Information

Direct Entry Midwife Application
Licensing Instructions
Affidavit of Completion of Additional Births Form
Change or Addition of Collaborating Physican Form - check back soon
Criminal Background Check Information
Verification of State Licensure Form
Frequently Asked Questions

Resources

Statutes and Rules
Wall Certificates and Pocket Cards
Fee Schedule - check back soon
Digital Certification of License
Renewal Information- check back soon
Continuing Education & Peer Review Requirements - check back soon
Collaborative Practice Agreements - check back soon
Informed Consent - check back soon
Emergency Care Plans- check back soon
Post-Birth Information- check back soon
Annual Reporting- check back soon

Committee Information

Midwifery Committee Members - check back soon
Committee Meeting Dates - check back soon
Committee Minutes & Agendas - check back soon
Electronic Meeting Policy- check back soon

Consumer Information

To file a complaint against a provider, please use the link below.  All complaints are investigated by the Attorney General's Office and are confidential unless formal charges are filed by the Attorney General's Office with the Board.  For more information, the Attorney General's Office may be contacted at 317-232-6201.

File a Consumer Complaint
 

Staff Information

Darren Covington, J.D., Board Director
Kimberly Letko, Assistant Board Director
Donna Moran, Litigation Specialist
Meredith Shirley, Customer Service Representative
Zharia Collins, Customer Service Representative
Elizabeth Sangar, Customer Service Representative


Phone Number: (317) 234-2060
Fax Number: (317) 233-4236
Email:
pla3@pla.in.gov

Professional Licensing Agency
Attn: Direct Entry Midwifery Committee
402 W. Washington Street, Room W072
Indianapolis, IN 46204