Get Or Birth Record Facility Worksheet 2014-2026

This guide provides clear instructions on how to effectively complete the OR Birth Record Facility Worksheet online. Designed to assist users in documenting vital information about birth events, this worksheet is a crucial tool for health professionals and parents alike.

Follow the steps to fill out the OR Birth Record Facility Worksheet online.

1. Press the ‘Get Form’ button to access the worksheet and open it in your preferred online editor.
2. Begin with the child's information, starting with the name fields. Enter the first, middle, and last names in the appropriate sections. Ensure correct spelling and capitalization.
3. Next, provide the date of birth including the month, day, and year. Indicate the sex of the child by selecting either male, female, or undetermined.
4. Fill in the time of birth, ensuring to denote whether it is AM or PM, and if applicable, any suffix for the child's name.
5. Proceed to the 'Mother Health' section. Indicate if the mother received WIC food during pregnancy and document any cigarette or alcohol use by checking the appropriate box.
6. Enter the place of birth by specifying the facility's name or address if the birth did not occur at a hospital.
7. In the 'Prenatal' section, provide payment method information, mother's medical record number, Medicaid number, and the date of last menses.
8. List previous live births along with their outcomes in the 'Previous Live Births' part. Include the number of live births currently living or deceased.
9. Document the delivery details under the 'Labor' section, including any risk factors experienced during labor.
10. Record the delivery method and fetal presentation in the 'Delivery' section, ensuring to check all relevant boxes regarding maternal morbidity.
11. Lastly, provide information under the 'Newborn' section including birth weight, APGAR scores, and any abnormal conditions. Also, check if the infant was breastfed at discharge.
12. Review all entries for accuracy before saving. Finally, save your changes and choose to download, print, or share the completed form as needed.

Complete your document online today and ensure accurate record-keeping for important birth information.