Medical Facility Vital Event Registration

Authorized medical facilities can order vital event registration forms:

Mother/Parent Worksheet (VR 203), available in English, Spanish, Chinese, Russian, Creole, and Korean
Facility Worksheet for Newborn Registration (VR 204)
Frequently Asked Questions about Birth Certificates (VR 212)
Spontaneous Termination of Pregnancy Transmittal Sheets (VR 143)
Induced Termination of Pregnancy Certificates (VR 18)

The Health Department will validate your order before completing it. Your order will be completed only if you are authorized to request the form.

Call 311 or 212-NEW-YORK (212-639-9675) to request a copy.

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