Get the free Perinatal Hepatitis B Birth Report - Minnesota Dept. of Health. Clinics should use t...
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MPH Use Only Record NumberPerinatal Hepatitis B Birth Report Hospitals should use this form to report perinatal hepatitis B births to the Minnesota Department of Health. Fax completed form to: (651)
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How to fill out perinatal hepatitis b birth
How to fill out perinatal hepatitis b birth
01
Obtain a copy of the perinatal hepatitis B birth form from the hospital or healthcare provider.
02
Fill in the baby's information, such as name, date of birth, and gender.
03
Provide the mother's information, including her name, date of birth, and any known hepatitis B status.
04
Indicate the type of birth (vaginal or cesarean) and any complications during pregnancy or delivery.
05
Record the hepatitis B status of the baby, such as whether the baby received hepatitis B vaccine and immunoglobulin.
06
Sign and date the form, ensuring that all information provided is accurate and complete.
07
Submit the filled out perinatal hepatitis B birth form to the appropriate healthcare authority or hospital.
Who needs perinatal hepatitis b birth?
01
Anyone who has tested positive for hepatitis B during pregnancy or has a history of hepatitis B infection should fill out a perinatal hepatitis B birth form.
02
The form is also necessary for babies born to mothers with unknown hepatitis B status or who have not been tested for the virus.
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What is perinatal hepatitis b birth?
Perinatal hepatitis B birth refers to the birth of a baby to a mother who is infected with the hepatitis B virus.
Who is required to file perinatal hepatitis b birth?
Healthcare providers and hospitals are required to file perinatal hepatitis B birth reports.
How to fill out perinatal hepatitis b birth?
Perinatal hepatitis B birth reports can be filled out using standard forms provided by health departments or through electronic reporting systems.
What is the purpose of perinatal hepatitis b birth?
The purpose of perinatal hepatitis B birth reporting is to monitor and track cases of hepatitis B transmission from mother to baby.
What information must be reported on perinatal hepatitis b birth?
The information that must be reported on perinatal hepatitis B birth includes mother's hepatitis B status, baby's test results, and vaccination status.
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