A Licensed Certified Professional Midwife (CPM) is a type of midwife who is licensed and certified to provide comprehensive midwifery care to women and families during pregnancy, childbirth, and the postpartum period.
Forms and Reports to be Completed by an LCPM
Annual Report - Pursuant to KRS 314.404(10) and 201 KAR 20:660, an LCPM shall report the following information to the Board of Nursing on or before September 1 of each year for the period of July 1 through June 30 preceding. The LCPM Advisory Council shall review all reports.
Incident Form - Under Kentucky Law, KRS 314.404(11) and 201 KAR 20:660, Licensed Certified Professional Midwives (LCPM) must submit the incident form to the Board of Nursing within thirty (30) days of the occurrence of a case of newborn or maternal death attended by the LCPM at the discovery of death.
Locate the following forms at the link below:
LCPM Informed Refusal Form
Online Validation
Review your application or licensure status
How to File a Self-Complaint or Complaint Regarding the Actions of an LCPM
Disciplinary Monitoring
Additional Resources