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This form is used by emergency service providers to order Portable Response Packets necessary for the safe surrender of newborns under the Safe Delivery of Newborns law.
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How to fill out SAFE DELIVERY OF NEWBORNS PORTABLE RESPONSE PACKET ORDER FORM

01
Begin by downloading the SAFE DELIVERY OF NEWBORNS PORTABLE RESPONSE PACKET ORDER FORM from the official website.
02
Fill in your contact information at the top of the form, including your name, address, email, and phone number.
03
Specify the quantity of response packets you are requesting in the designated section.
04
Provide the name of the organization or facility you represent, if applicable.
05
Indicate the reason for requesting the packets in the relevant section, such as a community event or training.
06
Review the instructions regarding shipping and delivery times, and fill out the shipping address if different from the contact information.
07
Sign and date the form at the bottom to confirm that all information provided is accurate.
08
Submit the completed form via the specified submission method, such as email or postal mail.

Who needs SAFE DELIVERY OF NEWBORNS PORTABLE RESPONSE PACKET ORDER FORM?

01
Healthcare professionals involved in maternal and newborn health services.
02
Organizations focused on community health, including non-profits and local health departments.
03
Educators conducting training sessions on newborn care and safety.
04
Volunteers or community members participating in health awareness activities.
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People Also Ask about

Safely Surrendered Baby Data YearReclaimedSafely Surrendered 2019 3 81 2020 3 77 2021 6 79 2022 10 9420 more rows
VS 136, Certificate of Finding of Unknown Child or Safely Surrendered Baby. A Certificate of Finding is the type of birth certificate that is obtained for Safely Surrendered Babies. This should be done by the appropriate staff at the hospital where the child was safely surrendered.
Safe Delivery of Newborns in the State of Michigan Safe Delivery allows parents to safely surrender their newborn child no more than 72 hours old to an employee who is inside and on duty at any hospital, fire department, police station, or by calling 911.
Under the Safely Surrendered Baby law, a parent or person with lawful custody can safely surrender a baby confidentially, and without fear of prosecution, within 72 hours of birth.

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The SAFE DELIVERY OF NEWBORNS PORTABLE RESPONSE PACKET ORDER FORM is a document used to request materials and resources related to the safe delivery of newborns, ensuring compliance with safety and health guidelines.
Healthcare providers, including hospitals and clinics that handle childbirth and newborn care, are required to file this form when requesting the portable response packets.
To fill out the form, provide essential details such as the requesting healthcare facility's name, address, contact information, the quantity of packets needed, and any specific requests or additional information required.
The purpose of the order form is to facilitate the distribution of essential supplies and educational materials related to the safe delivery of newborns, thereby improving maternal and infant health outcomes.
The form must report the healthcare facility details, the number of response packets requested, reasons for the request, and any relevant contact information for follow-up or inquiries.
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Relevant keywords

newborn safety emergency services surrender newborns portable response packet Michigan law paramedics EMT safe delivery order form public health

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