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Form Updated January 1, 2015
The Center for Health Statistics has issued a new version of Form 45-113, the Report of Induced Termination of Pregnancy. Please discontinue use of any versions of the form dated in the bottom right hand corner prior to 01/15. A fillable PDF version of the new form is available below for download and printing, as well as a short video outlining the changes to the form. If you prefer, you may request a supply of hard copies using the Request for Vital Records Forms and Tags available from the right hand column of this page.
A video outlining the changes to the ITOP report form is available below in the Forms & Instructions section.
New Option - OVERS Electronic Reporting
As of February 2015, the Oregon Vital Events Registration System (OVERS) allows providers to submit Induced Termination of Pregnancy reports electronically. To register, please complete this enrollment form and have your facility manager or supervisor sign the bottom portion.
A new web-based training video on reporting ITOPs through OVERS is now available. We can also host a live training webinar to introduce your facility to the new system. Please contact Ember Talent if you are interested.
Forms & Instructions
Report of Induced Termination of Pregnancy Form
Oregon Vital Events Registration System (OVERS) Electronic Reporting