Get Birth Notification

This guide provides comprehensive instructions on how to complete the Birth Notification form online. Whether you are a new parent or a healthcare provider, following these steps will ensure that the process is smooth and efficient.

Follow the steps to successfully complete the Birth Notification form.

1. Click ‘Get Form’ button to access the Birth Notification form and open it in your preferred editor.
2. Complete all fields to ensure prompt processing. Begin by entering the mother’s first and last name in the designated field, followed by their phone number. Be sure to include the Health Plan ID number and the mother’s diagnosis code.
3. Fill in the admission date and indicate the delivery type by selecting either 'Vaginal' or 'C-Section' from the available options.
4. Specify the birth type as either 'Single' or 'Twin.' If there are multiple births, ensure to indicate the number of births and note that an additional form is required for multiple births.
5. Indicate the mother’s birth status by selecting whether the mom was discharged without the baby, discharged with the baby, or if maternal death occurred.
6. Complete the baby’s details, starting with the first name, date of birth, and the gender selection as either 'Male' or 'Female.'
7. For each baby, fill in the baby diagnosis code and gestational age. Next, indicate the birth order and weight in grams.
8. Fill in the care level relevant to each baby, selecting from options such as 'Normal Vag Delivery – Level 1' or 'Neonatal ICU – Level 3.'
9. If applicable, indicate the transfer date and facility name for both the mother and the baby, including information on stillbirth or neonatal death if relevant.
10. Once you have completed all the sections of the form, you can save your changes, download the completed form, print it, or share it as required.

Start completing your Birth Notification form online today for efficient processing.