WebeVitals Document Library. Affidavit of Birthing Parent to Register Child's Parent Other Than as Spouse. Birth Facility Worksheet. Birthing Parent's Worksheet. eVitals Guide for Business Partners - Change of Email. eVitals Guide for Business Partners - Change of Password. eVitals Guide for Business Partners - Change of Security Questions. Web5. Birth Parent Phone Information Primary ( ) Secondary ( ) Type of Contact Cell Other Relative Work I do not have a phone number where I can be contacted 6. Birth Parent Date of Birth Month Day Year Current Age 7. Birth Parent Place of Birth (Please check only one and write in the state, province or foreign country).
Birth Facility Worksheet - Pennsylvania Department of Health
WebIf a legal change occurs on the record that creates a new record, facility staff might not be able to access the original record. If you cannot locate the original record when adding information or when amending the birth record for any reason, please contact the State Registration Manager at 971-673- 11 91 for assistance. WebHospital Freestanding Birth Center Clinic/Doctor’s Office Enroute Home Other (specify): 6. Planned Birth Place, if different (specify): *7. Name of Facility (If not a facility, enter name of place and address) *8. County of Birth *9. City of Birth Mother’s Information Mother’s Information 10. Mother’s Current Legal Name lakeline crossing austin
Facility Worksheet for the Live Birth Certificate - CDC
WebOct 4, 2024 · Identify best practices: NCHS and the National Association for Public Health Statistics and Information Systems (NAPHSIS) are developing recommendations for best practices, or standard ways of doing things, like collecting and reporting data, for state birthing facility reports and reviews. WebThis guide was developed to assist in completing the facility worksheets for the revised Certificate of Live Birth and Report of Fetal Death (birth certificate [BC], facility … WebGuide to completing the facility worksheets for the Certificate of live birth and Report of fetal death (2003 revision) National Center for Health Statistics (U.S.) ... March 2003, … lakeline austin texas