Home Births

Legal Requirements

Maryland law requires that all births occurring in the State be registered with the Maryland Department of Health (MD Health-General Code Ann. 4-208). Registration of your child's birth establishes the facts of birth and will be used throughout your child's lifetime for a variety of legal purposes. When a baby is born outside of an institution, the local health officer or designee of the jurisdiction where the birth occurred is required to attempt to verify the facts regarding the birth. 

State of Maryland Certified Nurse Midwives and Licensed Direct Entry Midwives now have the authority to complete registration for home births occurring in Frederick County. If you were in care with one of these professionals, please contact them for further instructions.

  • If your home birth was not planned and you or your baby were not hospitalized after the birth, you may follow up with your health care provider to complete the form below.
  • If you do not have a health care provider, please contact 301-600-3326 within 72 hours of the birth for more information.
  • If the facts of the birth can be verified, the local health officer will sign the birth record and file the record with the Department of Health.
  • If the facts regarding a birth cannot be verified by the local health officer, parents may seek an order from a court of competent jurisdiction that lists the facts about the birth and orders the Secretary of the Department of Health to create the birth record.

Pre-registration is available at the Frederick County Health Department and simplifies the registration process that will take place after the baby is born.

Necessary Documents

The necessary documents from a licensed health care provider would include:

  • Verification of the Facts of Birth Form
  • New Mother Worksheet - Must be completed by Health Department staff 
  • Certificate of Live Birth Form - Must be completed by Health Department staff 
  • Certificate of Multiple Live Births Form - Must be completed by Health Department staff 

Please contact the Health Department at 301-600-3326 for help with filling out these forms.