In order to register an out-of-hospital birth, the personal appearance of:

• The physician and parents(s), or parent(s) with the physician's signed Affidavit, for physician attended births, OR
• The midwife and parent(s), or parent(s) with the midwife's signed Affidavit, for midwife attended births, OR
• The parent(s) and attendant (if appropriate), for non-physician, non-midwife attended births.

DOCUMENTS REQUIRED FOR THE APPOINTMENT:

• Driver's License or Identification Card issued by a U.S. Department of Motor Vehicles, U.S. Passport, U.S. Military Identification card, or Temporary Resident Identification Card
• Proof of pregnancy from a physician, midwife (must be on letterhead with original signature)
• If the child was taken to a neighboring hospital after birth, bring notification of birth letter from the medical records department
• Newborn Screening Test (PKU) results
• Declaration of Paternity and Acknowledgment of Paternity (if parents are not married, these forms are available in our office)
• Worksheet for Out-of-Hospital Births   
• Affidavit of Birth Information for Out-of-Hospital Births (DO NOT sign this form prior to the appointment.  It MUST be signed in front of a clerk)  
• Notification of Registration of Birth which occurred out of a licensed health facility NBS-OH completed

 You can also download the "How to Register an Out-of-Hospital Birth" packet for more information.