Birth Certificate Forms

If you are at least 20 weeks pregnant and plan to deliver your newborn at Cheyenne Regional Medical Center, we ask that you complete a birth certificate form (also called the Mother’s Worksheet”) either prior to arriving at the hospital or during your stay in the Mother-Baby Unit.

The Mother’s Worksheet is sent to the State of Wyoming Vital Records Department and used to create the birth certificate.

After the delivery of your newborn, a Health Information Tech will visit your room to review your completed worksheet or to assist in completing missed questions.

For questions or additional information about birth certificate forms, please contact the Cheyenne Regional Medical Center Health Information Department at (307) 633-7925 or email [email protected].

Para cualquier información adicional o si tiene preguntas, comuníquese con el Departamento de Información de Salud utilizando el método de contacto que elija a continuación: (307) 633-7925; [email protected]