Out of Hospital Birth Registration

Birth Registration for Parents with Midwife Assistance:

• Valid Government Identification, present one of the following:
  • CA issue ID
  • Passport
  • San Francisco City ID
  • Other government issue IDs
• San Francisco Resident Verification, one of the following:
  • Most recent utility bill with at least one with the parent’s names and address of the birth-delivery
  • Rental agreement
  • Lease agreement
• Worksheet for Out-of-Hospital Births:
  • Emailed by midwife before appointment to OVR (signed or unsigned).
  • Original Affidavit: Signed by midwife, in black ink. Brought by the parents to the OOH birth appointment.
• Newborn Screening (NBS) Form: Provided and completed by midwife, emailed to DPH staff.

Birth Registration for Parents with Unplanned (spontaneous) or expected (pre-scheduled) Public Delivery:

• Valid Government Identification, present one of the following:
  • CA issue ID
  • Passport
  • San Francisco City ID
  • Other government issue IDs
• San Francisco Resident Verification, for unplanned birth, present one of the following:
  • Most recent utility bill from where the child was born.
  • Rental agreement
  • Lease agreement

Exempt: For expected OOH deliveries.

• Worksheet for Out-of-Hospital Births:
  • Could be found on our website at:

https://www.sf.gov/get-birth-certificate-someone-under-3

• • A hospital can assist with filling out the form.
  • Affidavit of Birth: Signed by Local Registrar and parents in black ink.
    • One witness who was at the birth of the baby must attend the appointment.
• Ambulance report from parents, if ambulance assisted in the birth delivery
• Newborn Screening (NBS) form: Ensure to have it before appointment.
  • These screenings are carried out at two main locations:
    • Midwifery clinics and healthcare facilities.

If you want to decline the test, you need to do so within the form.

• Baby must attend the OOH birth appointment unless the baby is in Neonatal Intensive Care Unit (NICU), in that case we call the hospital beforehand to ensure the baby is alive.
• Proof of pregnancy, present two of the following:
  • Prenatal visit receipt
  • Ultrasound
  • Signed letter from a gynecologist: Letter must contain the following:
    • Clinic official letterhead
    • Address and phone number
    • Name of parent giving birth
    • Date of person giving birth was first seen by the doctor or midwife (this date may be after the date of birth).
    • The results of the person giving birth’s prenatal or postpartum exams or pregnancy tests.
    • The date of the person giving birth’s last menstrual period.
    • The date the baby was born or was expected to be born (due date).
    • License number
    • Wet signature