Department of Health

Victorian Maternity Record - order form

Victorian Maternity Record

Order form

The Victorian Maternity Record can be ordered online by filling out the details below and pressing "Submit" at the bottom of the page. Note: we do not ship outside of Victoria.
* Please note that the minimum number of VMR kits that can be requested in a single order is 20. Ordering 50 VMR kits and above, in increments of 50 (ie 50, 100, 150, 200) is preferred. The minimum number of VMR forms that can be requested in a single order is 100. Ordering VMR forms in increments of 100 (ie 100, 200, 300) is preferred.

Reviewed 25 October 2021

Health.vic

Contact details

Maternity and Newborn Program Department of Health & Human Services

Was this page helpful?