Indiana Certified Direct Entry Midwifery Committee

Licensing Information

 

Effective immediately: Due to statutory requirements regarding processing times for application fees, the Indiana Professional Licensing Agency will no longer accept more than ten (10) fees per individual check for the application or renewal of a midwife license.

If a check is received with more than ten (10) fees per check, it may result in the return of your check along with the applications or renewals to your program for correction.  Further delays in processing time, as a result of more than ten (10) fees per check, may also lead to potential late fees. We apologize for any inconvenience this may cause and appreciate your partnership as we continue to work together to issue licenses as quickly and efficiently as possible. 

If you have any questions regarding this matter, please email pla3@pla.in.gov.

Direct Entry Midwife Application
Licensing Instructions
Affidavit of Completion of Additional Births Form
Change or Addition of Collaborating Physican Form 

  • This form should be completed and sent to the Committee if your collaborating physician changes, or you are adding a collaborating physician. 

Criminal Background Check Information
Verification of State Licensure Form
Frequently Asked Questions

Resources

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

Committee Information

Midwifery Committee Members 
Committee Meeting Dates 
Committee Minutes & Agendas 
Electronic Meeting Policy

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

Kelsie Smith, 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