Get the free Birth Record Facility Worksheet - public health oregon

Please print neatlyBirth Record FACILITY WORKSHEETCenter for Health StatisticsCHILD Name(Page 1 of 2) Middlemost/Sex AM PM Military/ DDSuffixTime of BirthDate of Birth MMLastYYYYFemale UndeterminedMOTHER

How to fill out birth record facility worksheet

How to fill out birth record facility worksheet

1. To fill out the birth record facility worksheet, follow these steps:
2. Begin by entering the facility name and address at the top of the form.
3. Fill in the date of birth and the baby's full name.
4. Enter the birth weight and length of the baby.
5. Provide information about the mother, including her full name, date of birth, and contact details.
6. Fill in details about the father, such as his full name and contact information.
7. Enter the attending physician's name and contact details.
8. Provide additional details about the birth, including the type of delivery and any complications.
9. Fill in information about the hospital or birthing center, including the name, address, and contact information.
10. Finally, review the completed form for accuracy and sign it.
11. Remember to consult the specific guidelines provided by your local authorities or registration office to ensure accurate completion.

Who needs birth record facility worksheet?

1. The birth record facility worksheet is typically needed by hospitals, birthing centers, or midwives who are responsible for collecting and recording information about newborns and their families.
2. It is an important document for maintaining accurate birth records and fulfilling legal requirements related to birth registration.
3. Healthcare professionals, administrators, and government agencies involved in birth registration processes may also require this worksheet for data collection and reporting purposes.

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