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for Hospitals & Medical Practitioners

    Perinatal Medical Cause of Death

    To order Perinatal Medical Cause of Death,
    please email: bdm-assets@justice.nsw.gov.au

    Medical Certificate Cause of Death (MCCD) form

    The MCCD form was revised 8 December 2014 and is now produced in A3 format.

    Ordering forms

    Public Hospitals

    • Public Hospitals must order the MCCD from the State print vendor's portal, the same way other health record forms are ordered. MCCD are no longer ordered from the Registry BDM.

    Private Hospitals and Medical Practitioners

    • Private Hospitals and Medical Practitioners continue to order the MCCD from the Registry BDM by supplying a delivery name and address (not locked bags or PO Boxes).
      Please email: bdm-assets@justice.nsw.gov.au

    Destroying old forms

    Destroy any old unused MCCD forms in accordance with the secure destruction of records process.

    MCCD form review

    The form was reviewed to make it fully compliant with the Coroner’s Act 2009. Previously the MCCD did not include sufficient guidance on when to issue a certificate as opposed to reporting a death to the Coroner.

    The MCCD form was developed by a working party with representatives from the Registry, NSW Ministry of Health, and the Office of the State Coroner. Groups consulted during the design phase were:

    • NSW Health Local Health Districts
    • Agency for Clinical Innovation
    • Clinical Excellence Commission
    • Bureau of Health Information
    • NSW Chief Health Officer, MOH
    • (Former) Deputy Director General, MOH
    • Australian Funeral Directors Association
    • Funeral Directors Association of Australia
    • Australian Medical Association
    • Medical Council

    The A3 size allows: collection of additional data and giving further guidance to ensure accurate reporting of deaths; more space for accurate data collection and improved layout. The A3 size folds to A4 and is hole punched to assist with filing.

    Additional information is collected: on the clinician’s eligibility to complete the MCCD; about the reporting clinician, so they are more easily identified for follow up; about the deceased person, to provide further epidemiological information about deaths to assist with accurate reporting to the Coroner.

    Who do I contact if I have any queries?

    Medical Practitioners

    Australian Medical Association (NSW) Ltd
    Phone: (02) 9439 8822

    Private Hospitals

    Private Health Care Unit
    Legal & Regulatory Services
    Phone: (02) 9424 5955
    Email: phcmb@doh.health.nsw.gov.au

    Public Hospitals

    Local Health District Representatives on the "State Forms Management Committee".