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Get the free Still Birth and Fetal Death Pamphlet - California Department of ... - www2 co fresno ca

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INSTRUCTIONS Mail the following items to our office: For STILL BIRTHS ONLY: 1) Completed Application for Certified Copy of Still Birth Record (VS 13E). 2) $24 fee per copy requested. Vital Records
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How to fill out still birth and fetal:

01
Gather all necessary information: Before starting to fill out the forms, make sure you have all the required information at hand. This may include the date, time, and location of the stillbirth or fetal demise, as well as the baby's gestational age and any medical or genetic information.
02
Obtain the necessary forms: Contact the hospital or healthcare provider involved in the care during the stillbirth or fetal demise to obtain the specific forms required for documentation. Different jurisdictions may have different requirements, so it is essential to have the correct forms.
03
Complete the personal details: Begin filling out the forms by providing your personal information, such as your full name, contact details, and relationship to the deceased baby. This section usually includes fields for the mother and father's information, if applicable.
04
Provide relevant medical information: In the next section, you will need to provide medical details related to the stillbirth or fetal demise. This may include information about any prenatal care received, medical conditions of the mother, any complications during pregnancy, and the events leading up to and surrounding the loss.
05
Record details about the baby: Fill out the sections dedicated to capturing information about the baby, such as their name (if given), gender, gestational age, and any physical characteristics observed.
06
Document the circumstances: The forms may also include sections to document the circumstances surrounding the stillbirth or fetal demise. This may involve providing details about the birthing process, the medical interventions taken, and any postnatal examinations or tests conducted.
07
Consider additional requirements: Depending on the jurisdiction, there may be additional requirements for filling out the forms. These could include obtaining the signature of a healthcare provider or providing additional documentation, such as consent forms or identification.

Who needs still birth and fetal:

01
Parents who have experienced a stillbirth or fetal demise: The primary individuals who typically need to fill out still birth and fetal forms are the parents who have suffered the loss. These forms serve as an official documentation of the event and facilitate the process of obtaining vital records or accessing support services.
02
Healthcare providers and hospitals: Healthcare providers and hospitals involved in the care during the stillbirth or fetal demise may also need to complete certain sections of the forms. This helps in documenting the medical details and ensuring accurate record-keeping for future reference.
03
Government agencies and vital record offices: Once the forms are completed by the parents and healthcare providers, they are often submitted to government agencies or vital record offices responsible for registering the stillbirth or fetal demise. These entities use the information provided to generate official certificates or records and update relevant databases.
Note: The exact requirements for filling out still birth and fetal forms may vary depending on the country or jurisdiction. It is essential to consult the appropriate authorities or healthcare professionals to ensure compliance with local regulations and procedures.
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Stillbirth is when a baby is born dead after 24 weeks of pregnancy. Fetal death is the death of a baby before or during delivery.
Healthcare providers, hospitals, or medical facilities are required to file still birth and fetal reports.
The reports can be filled out electronically or using paper forms provided by the relevant authorities.
The purpose is to collect data for research, statistics, and public health purposes.
Information such as date of occurrence, location, mother's details, baby's details, and possible causes of death must be reported.
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