LEERS: Louisiana Electronic Event Registration System | Louisiana Department of Health

LEERS: Louisiana Electronic Event Registration System | Louisiana Department of Health
For Providers
LEERS: Louisiana Electronic Event Registration System
LEERS: Louisiana Electronic Event Registration System
Registration:
All forms must be completed and signed before emailing to
[email protected]
or fax to (504) 593-5196 Attn: LEERS.
If you require any assistance with training or registration, please call the LEERS Helpdesk at (504) 593-5101 or email
[email protected]
.
We will be routinely adding and updating information on this page for our user community.
Birth Module
User ID Agreement and User Guides
LEERS Birth Module User ID Agreement
(fillable)
Facility Worksheet Guidelines
LEERS Birth Module User Guide
Mother's Worksheets
Mother's Cover Letter
Mother's Worksheet - One Page
Mother's Worksheet - Full
Facility Worksheets
Facility Worksheet - One Page
Facility Worksheet - Full
Facility Worksheet - Multiple Birth Attachment
Worksheet for Single Births Below 39 Weeks
Certifier Information
Certifying a Birth Record - One Page Instructions
Birth Certification Process (Summary)
Births Below 39 Weeks Fact Sheet
Paternity Forms
Acknowledgment of Paternity - 2-Party (Hospital)
Acknowledgment of Paternity - 3-Party (Hospital)
Paternity Declaration Form
Hearing Screening Information
Hearing Help and Support
Hearing Glossary of Terms
Other Related Materials
CDC Race Codes
SSA Verification Form (9 Weeks)
Continuity of Operations Plan
Death Module
User Guide
LEERS Death Module User Guide
User ID Agreement and Reporting Forms
A completed and signed User ID Request form is required for each individual LEERS user.
Physician/Coroner User ID Request
Funeral Home User ID Request
Physician/Coroner Staff User ID Request
SSA Louisiana Policy for Funeral Director Report of Death (SSA-721)
SSA Louisiana Policy for Report of Death by Funeral Director (SSA-721)
- Updated July 9, 2012
Worksheets
Worksheets allow users to collect information from staff or family members in the LEERS format for ease of entry into the electronic system. All worksheets are optional and offered solely as a convenience to users.
Funeral Home Informant Worksheet
Medical Certifiers
Information from the
Louisiana State Board of Medical Examiners
regarding the importance of signing vital event documents.
The Centers for Disease Control/National Center for Health Statistics (CDC/NCHS) has developed an informational packet regarding the completion of cause-of-death entitled
Instructions for Completing the Cause-of-Death Section of the Death Certificate
.
The Centers for Disease Control/National Center for Health Statistics (CDC/NCHS) has developed an informational packet regarding the completion of cause-of-death for injury and poisoning entitled
Instructions for Completing the Cause-of-Death Section of the Death Certificate for Injury and Poisoning
.
The Centers for Disease Control/National Center for Health Statistics (CDC/NCHS) has a webpage for handling situations where cause-of-death is difficult to certify entitled
Possible Solutions to Common Problems in Death Certification
.
The Centers for Disease Control/National Center for Health Statistics (CDC/NCHS) has developed an informational packet entitled
Completion of Death Certificates in the Aftermath of a Hurricane
.
The National Association of Medical Examiners has developed five tutorials regarding cause-of-death reporting that can be found at this
link
.
Training Videos
LEERS Login and Home Page Overview
LEERS Death Module Home Page
LEERS Command Buttons
Initiating a Burial Transit Permit
Death Record Creation
Decedent Tab
Automatic SSN Verification
Personal Tab
Death Info Tab
Assignment Tab - Electronic Certification
Assignment Tab - Manual Certification
Physician/Coroner Certification
Returned from State Records
Transferring a Death Record
Online Certificate Ordering
Fetal Death
User ID Agreement and User Guide
LEERS Fetal Death User ID Agreement
Fetal Death Module
User Guide
Training Materials
LEERS Fetal Death Module Training Video - Adding a New Record
LEERS Fetal Death Module Training Video - Physician Certification
LEERS Fetal Death Module Training Video - Funeral Home Process
Worksheets
Fetal Death Patient Worksheet
Fetal Death Facility Worksheet
SAM Module
User ID Agreement
LEERS SAM User ID Agreement
Clerk of Court Issuance Guide
This guide contains complete instructions for vital record issuance for Clerks of Court, including helpful diagrams and images.
Clerk of Court Issuance Guide
Clerk of Court Information for Updating Partial Birth Records
PDF Instruction Guide for updating partial birth records
Updated SAM Instructional Video
(including updating partial birth records)
Training Materials
LEERS SAM Module Training Video
Marriage Module
User ID Agreement
LEERS Marriage User ID Agreement
Divorce Module
User ID Agreement
LEERS Divorce User ID Agreement
Worksheet
LEERS Divorce Worksheet
ITOP Module
User ID Agreement
LEERS ITOP User ID Agreement
Additional Materials
Contact
The LEERS Team is available for help and support with any LEERS module.
LEERS Hotline: 504.593.5101
LEERS Team Email:
[email protected]
LEERS also incorporates web help by clicking on the Help link on the top left of any page within LEERS. The web help is page-specific, indexed and searchable. Web help also includes screenshots and allows users to bookmark pages.
Each LEERS module also includes common downloadable forms, worksheets and guides.
Surgeon General
Evelyn Griffin, MD
Secretary
Bruce D. Greenstein
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