Galveston County Medical Examiner Jurisdiction

You must notify the Galveston County Medical Examiner (GCMEO) if any of the following apply. This applies to all deaths including those of the Texas Department of Criminal Justice (TDCJ) and all other incarcerated individuals. If you are unsure if itís a medical examiner case, call the Medical Examiner. There are certain cases in which the Medical Examiner office must be notified. These criteria are:

  • A patient dies within 24 hours of hospitalization
  • A patient younger than 6 years of age dies (excluding stillborn)
  • You are uncertain of the circumstances of the death
  • You suspect the death was by unlawful means
  • Circumstances lead you to suspect the death by suicide
  • Someone dies from unnatural causes, no matter how remote in time (verify from prior hospitalizations whether death resulted from an earlier trauma, accident, attempted suicide, near-drowning, poisoning, or burns)
  • A patient dies during a medical procedure

Physicians may not certify any death that is not natural (i.e. homicide, suicide, accident or unknown). Contact the Medical Examiner office for guidance if the manner of death is not a natural death, or if you are unsure as to the manner of death.

If the case is accepted by the medical examiner office, do the following:

  • Inform the next-of-kin of that the medical examiner has taken jurisdiction
  • Depending on the case, the medical examiner office will inform the clinician where to transfer the decedent for the autopsy
  • If the autopsy will be performed at UTMB Autopsy Service, complete sections 6 (checklist) and Section 5 (disposition of the body) on the Form 5012, and send the Decedent Affairs Paperwork (DAP) and the medical records chart to UTMB Autopsy Service
  • If the autopsy will be performed at the GCME office, the GCME will send their transport service and the body can be released directly from the unit

The case is reported to Medical Examiner office, but they waive jurisdiction (Greensheet).
What does this mean?

  • Medical Examiner did not order an autopsy
  • Physician will sign the death certificate
  • The manner of death is ruled natural  

GCMEO Contact Information

6607 Highway 1764
Texas City, Texas 77591

Hours of Operation
Monday thru Friday
8:00am – 5:00pm
Office: 409-935-9274

After Hours:
5:00pm - 08:00 am
Call: X24004 (page operator)

Chief Medical Examiner
Dr. Paul J. Boor

Lead M.E. Investigator
D.J. Florence


ED Form 5012

Form 5012