Birth Certificate Worksheet

In order to legally name your child, you are required to complete the State of Connecticut Department of Public Health Birth Certificate Worksheet form.

If you did not receive or complete this form prior to your discharge from the hospital, please complete the worksheet and fax to Health Information Services at Danbury Hospital at 203-739-6689.

If you have any questions regarding the birth certificate process or need help completing this form, please contact Health Information Services at 203-739-7352.

For More Information

If you have questions, please contact Medical Records orĀ ask your doctor about Danbury Hospital. For information about our doctors search our online Find a Doctor tool, or if you need a referral call 1-800-516-3658.




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