Health
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Forms

Page content: Data & research request | Birth report | Birth defects notification | Report of Neonatal Deaths and Stillbirths

Data & research request

Use this form to request access to de-identified data from the CCOPMM, VPDC and VBDR collections.

 Data & research request form

Birth report

This form is designed to collect information on, and in relation to, the health of mothers and babies. The data collected via the Birth Report contains information on obstetric conditions, procedures and outcomes, neonatal morbidity and birth defects relating to every birth in Victoria of 20 weeks gestation or more, or 400 grams or more birthweight.

  Birth Report

Birth defects notification

This Birth Defects notification is used for notification of birth defects to the Birth Defects Register primarily by allied health professionals, i.e. maternal and child health nurses, private practitioners and specialist clinics.

If you wish to lodge your request electronically, please log onto the link below and your request will be submitted online to the Victorian Perinatal Data Collection Unit.

Complete Victorian Births Defects notification online

This form is also provided in a booklet of 25 forms, which can be ordered from:
The Victorian Births Defects Register
Perinatal Data Collection Unit
GPO Box 4003
Melbourne Vic 3001

Report of Neonatal Death

  Section 39 - Report of Neonatal Death Template

Report of Stillbirth

  Section 39 - Report of Stillbirth Template